Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,640.93 / $8,229.00	Facility		$860.00	$1,640.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.89 / $1,479.25 / $1,891.02	Professional		$1,284.89	$1,479.25	$1,891.02
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 $1,006.15 / $1,219.21 / $2,055.48	Professional		$1,006.15	$1,219.21	$2,055.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.99 / $1,707.44 / $1,969.65	Facility		$1,243.99	$1,707.44	$1,969.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,309.70 / $1,707.44 / $2,744.10	Professional		$1,309.70	$1,707.44	$2,744.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.68 / $1,502.68 / $1,958.14	Facility		$1,502.68	$1,502.68	$1,958.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.94 / $1,894.86 / $2,987.08	Professional		$1,389.94	$1,894.86	$2,987.08
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 $1,342.66 / $1,926.72 / $2,781.32	Professional		$1,342.66	$1,926.72	$2,781.32