Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,749.26 / $8,229.00	Facility		$860.00	$1,749.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.37 / $1,580.41 / $2,067.25	Professional		$1,382.37	$1,580.41	$2,067.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.83 / $1,515.13 / $2,141.13	Professional		$1,272.83	$1,515.13	$2,141.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,345.53 / $1,835.12 / $2,116.94	Facility		$1,345.53	$1,835.12	$2,116.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,439.72 / $1,835.12 / $2,621.60	Professional		$1,439.72	$1,835.12	$2,621.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.20 / $1,612.20 / $2,087.39	Facility		$1,612.20	$1,612.20	$2,087.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,600.04 / $1,984.79 / $3,170.94	Professional		$1,600.04	$1,984.79	$3,170.94
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 $1,423.52 / $1,953.21 / $2,830.78	Professional		$1,423.52	$1,953.21	$2,830.78