Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,328.73 / $8,229.00	Facility		$860.00	$1,328.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.98 / $1,379.80 / $1,816.10	Professional		$1,212.98	$1,379.80	$1,816.10
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 $1,089.92 / $1,307.25 / $1,807.60	Professional		$1,089.92	$1,307.25	$1,807.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.80 / $1,611.54 / $1,859.04	Facility		$1,181.80	$1,611.54	$1,859.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.09 / $1,611.54 / $2,302.19	Professional		$1,151.09	$1,611.54	$2,302.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.58 / $1,414.58 / $1,585.58	Facility		$1,414.58	$1,414.58	$1,585.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.48 / $1,723.91 / $2,713.67	Professional		$1,431.48	$1,723.91	$2,713.67
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 $1,223.05 / $1,768.44 / $2,482.02	Professional		$1,223.05	$1,768.44	$2,482.02