Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,951.94 / $8,229.00	Facility		$860.00	$1,951.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,727.43 / $1,972.51 / $2,573.96	Professional		$1,727.43	$1,972.51	$2,573.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.60 / $1,456.61 / $2,380.96	Professional		$1,210.60	$1,456.61	$2,380.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,686.35 / $2,297.75 / $2,650.61	Facility		$1,686.35	$2,297.75	$2,650.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,786.69 / $2,297.75 / $3,282.50	Professional		$1,786.69	$2,297.75	$3,282.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,020.61 / $2,020.61 / $2,329.26	Facility		$2,020.61	$2,020.61	$2,329.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.20 / $2,390.92 / $3,836.86	Professional		$1,709.20	$2,390.92	$3,836.86
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 $1,738.24 / $2,602.29 / $3,528.90	Professional		$1,738.24	$2,602.29	$3,528.90