Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,283.16 / $8,229.00	Facility		$860.00	$1,283.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.16 / $1,464.72 / $1,890.28	Professional		$1,283.16	$1,464.72	$1,890.28
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 $1,135.77 / $1,351.97 / $1,868.65	Professional		$1,135.77	$1,351.97	$1,868.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.11 / $1,707.89 / $1,970.17	Facility		$1,252.11	$1,707.89	$1,970.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,219.92 / $1,707.89 / $2,439.84	Professional		$1,219.92	$1,707.89	$2,439.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.02 / $1,502.02 / $1,515.80	Facility		$1,502.02	$1,502.02	$1,515.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,475.49 / $1,879.88 / $3,046.81	Professional		$1,475.49	$1,879.88	$3,046.81
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 $1,317.85 / $1,884.48 / $2,767.60	Professional		$1,317.85	$1,884.48	$2,767.60