Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,364.01 / $8,229.00	Facility		$860.00	$1,364.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.01 / $1,555.29 / $2,006.87	Professional		$1,364.01	$1,555.29	$2,006.87
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 $1,100.92 / $1,334.06 / $1,977.87	Professional		$1,100.92	$1,334.06	$1,977.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,320.72 / $1,812.75 / $2,091.14	Facility		$1,320.72	$1,812.75	$2,091.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,489.04 / $1,812.75 / $2,913.35	Professional		$1,489.04	$1,812.75	$2,913.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,463.15 / $1,595.21 / $1,595.21	Facility		$1,463.15	$1,595.21	$1,595.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.31 / $1,987.97 / $3,233.61	Professional		$1,520.31	$1,987.97	$3,233.61
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 $1,408.15 / $2,055.96 / $3,353.92	Professional		$1,408.15	$2,055.96	$3,353.92