Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,333.11 / $8,229.00	Facility		$860.00	$1,333.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.26 / $1,404.19 / $1,811.58	Professional		$1,231.26	$1,404.19	$1,811.58
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 $1,185.00 / $1,397.30 / $1,802.80	Professional		$1,185.00	$1,397.30	$1,802.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,200.30 / $1,637.43 / $1,888.89	Facility		$1,200.30	$1,637.43	$1,888.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.58 / $1,637.43 / $2,339.17	Professional		$1,169.58	$1,637.43	$2,339.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.19 / $1,440.19 / $1,590.81	Facility		$1,440.19	$1,440.19	$1,590.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.79 / $1,817.11 / $3,001.43	Professional		$1,473.79	$1,817.11	$3,001.43
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 $1,268.90 / $1,815.04 / $2,668.61	Professional		$1,268.90	$1,815.04	$2,668.61