Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,842.83 / $8,229.00	Facility		$860.00	$1,842.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.56 / $1,678.88 / $2,146.38	Professional		$1,458.56	$1,678.88	$2,146.38
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 $1,098.82 / $1,331.51 / $2,123.98	Professional		$1,098.82	$1,331.51	$2,123.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,420.77 / $1,938.37 / $2,236.05	Facility		$1,420.77	$1,938.37	$2,236.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,486.70 / $1,938.37 / $2,769.10	Professional		$1,486.70	$1,938.37	$2,769.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,707.52 / $1,707.52 / $2,199.06	Facility		$1,707.52	$1,707.52	$2,199.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.31 / $2,153.02 / $3,462.19	Professional		$1,538.31	$2,153.02	$3,462.19
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 $1,532.83 / $2,211.55 / $3,161.49	Professional		$1,532.83	$2,211.55	$3,161.49