Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,449.03 / $8,229.00	Facility		$860.00	$1,449.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.70 / $1,404.25 / $1,814.49	Professional		$1,222.70	$1,404.25	$1,814.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.30 / $1,233.94 / $1,726.56	Professional		$1,018.30	$1,233.94	$1,726.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,115.84 / $1,522.01 / $1,755.75	Facility		$1,115.84	$1,522.01	$1,755.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,062.69 / $1,522.01 / $2,446.09	Professional		$1,062.69	$1,522.01	$2,446.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.44 / $1,427.44 / $1,729.14	Facility		$1,427.44	$1,427.44	$1,729.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.50 / $1,745.13 / $2,770.60	Professional		$1,368.50	$1,745.13	$2,770.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.05 / $1,783.79 / $2,627.49	Professional		$1,042.05	$1,783.79	$2,627.49