Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,882.57 / $8,229.00	Facility		$860.00	$1,882.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.99 / $1,721.05 / $2,247.86	Professional		$1,504.99	$1,721.05	$2,247.86
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 $1,316.65 / $1,549.00 / $2,133.65	Professional		$1,316.65	$1,549.00	$2,133.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,456.15 / $1,998.64 / $2,305.57	Facility		$1,456.15	$1,998.64	$2,305.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,567.79 / $1,998.64 / $3,212.10	Professional		$1,567.79	$1,998.64	$3,212.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $2,246.48	Facility		$1,755.00	$1,755.00	$2,246.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.38 / $2,184.46 / $3,271.74	Professional		$1,691.38	$2,184.46	$3,271.74
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 $1,541.91 / $2,117.17 / $3,090.46	Professional		$1,541.91	$2,117.17	$3,090.46