Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,760.57 / $8,229.00	Facility		$860.00	$1,760.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.26 / $1,618.74 / $2,082.53	Professional		$1,408.26	$1,618.74	$2,082.53
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 $1,326.08 / $1,560.10 / $2,012.80	Professional		$1,326.08	$1,560.10	$2,012.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.82 / $1,851.33 / $2,135.64	Facility		$1,348.82	$1,851.33	$2,135.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,322.38 / $1,851.33 / $2,975.36	Professional		$1,322.38	$1,851.33	$2,975.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.48 / $1,638.48 / $2,100.89	Facility		$1,638.48	$1,638.48	$2,100.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.87 / $2,046.83 / $3,272.41	Professional		$1,674.87	$2,046.83	$3,272.41
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 $1,447.86 / $2,318.73 / $3,035.05	Professional		$1,447.86	$2,318.73	$3,035.05