Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,941.38 / $8,229.00	Facility		$860.00	$1,941.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $1,819.00 / $2,324.04	Professional		$1,580.00	$1,819.00	$2,324.04
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 $1,282.40 / $1,508.71 / $2,433.50	Professional		$1,282.40	$1,508.71	$2,433.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,538.68 / $2,099.23 / $2,421.61	Facility		$1,538.68	$2,099.23	$2,421.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $2,099.23 / $2,998.90	Professional		$1,646.39	$2,099.23	$2,998.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.95 / $1,847.95 / $2,316.66	Facility		$1,847.95	$1,847.95	$2,316.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.95 / $2,332.83 / $3,855.77	Professional		$1,631.95	$2,332.83	$3,855.77
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 $1,593.93 / $2,347.52 / $3,426.20	Professional		$1,593.93	$2,347.52	$3,426.20