Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,677.04 / $8,229.00	Facility		$860.00	$1,677.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.97 / $1,555.01 / $1,988.64	Professional		$1,350.97	$1,555.01	$1,988.64
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 $1,000.69 / $1,212.59 / $1,952.64	Professional		$1,000.69	$1,212.59	$1,952.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.48 / $1,795.89 / $2,071.67	Facility		$1,316.48	$1,795.89	$2,071.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,475.20 / $1,795.89 / $2,886.26	Professional		$1,475.20	$1,795.89	$2,886.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.98 / $1,579.98 / $2,001.22	Facility		$1,579.98	$1,579.98	$2,001.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.91 / $1,957.67 / $3,182.46	Professional		$1,421.91	$1,957.67	$3,182.46
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 $1,391.64 / $2,040.47 / $2,925.67	Professional		$1,391.64	$2,040.47	$2,925.67