Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,869.77 / $8,229.00	Facility		$860.00	$1,869.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.46 / $1,693.96 / $2,165.01	Professional		$1,471.46	$1,693.96	$2,165.01
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 $1,376.91 / $1,619.90 / $2,127.94	Professional		$1,376.91	$1,619.90	$2,127.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,433.03 / $1,955.03 / $2,255.26	Facility		$1,433.03	$1,955.03	$2,255.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,533.34 / $1,955.03 / $3,142.01	Professional		$1,533.34	$1,955.03	$3,142.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.84 / $1,721.84 / $2,231.19	Facility		$1,721.84	$1,721.84	$2,231.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,776.65 / $2,171.23 / $3,463.59	Professional		$1,776.65	$2,171.23	$3,463.59
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 $1,516.43 / $2,214.73 / $3,188.86	Professional		$1,516.43	$2,214.73	$3,188.86