Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,671.35 / $8,229.00	Facility		$860.00	$1,671.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.83 / $1,528.99 / $1,991.79	Professional		$1,334.83	$1,528.99	$1,991.79
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 $1,214.00 / $1,471.09 / $2,139.07	Professional		$1,214.00	$1,471.09	$2,139.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,297.34 / $1,768.42 / $2,040.01	Facility		$1,297.34	$1,768.42	$2,040.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,388.16 / $1,768.42 / $2,842.11	Professional		$1,388.16	$1,768.42	$2,842.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,560.95 / $1,560.95 / $1,994.42	Facility		$1,560.95	$1,560.95	$1,994.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.63 / $1,957.00 / $3,041.31	Professional		$1,567.63	$1,957.00	$3,041.31
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 $1,341.19 / $1,940.91 / $2,858.92	Professional		$1,341.19	$1,940.91	$2,858.92