Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,530.24 / $8,229.00	Facility		$860.00	$1,530.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.72 / $1,579.14 / $2,075.26	Professional		$1,387.72	$1,579.14	$2,075.26
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 $1,254.97 / $1,476.44 / $1,965.54	Professional		$1,254.97	$1,476.44	$1,965.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,343.05 / $1,843.41 / $2,126.50	Facility		$1,343.05	$1,843.41	$2,126.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,446.24 / $1,843.41 / $2,633.44	Professional		$1,446.24	$1,843.41	$2,633.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,619.14 / $1,619.14 / $1,826.05	Facility		$1,619.14	$1,619.14	$1,826.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.09 / $1,943.20 / $3,139.04	Professional		$1,612.09	$1,943.20	$3,139.04
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 $1,429.69 / $2,025.72 / $2,843.12	Professional		$1,429.69	$2,025.72	$2,843.12