Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,630.91 / $8,229.00	Facility		$860.00	$1,630.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.23 / $1,367.85 / $1,748.52	Professional		$1,188.23	$1,367.85	$1,748.52
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 $1,140.50 / $1,358.35 / $1,861.00	Professional		$1,140.50	$1,358.35	$1,861.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.38 / $1,578.95 / $1,821.44	Facility		$1,157.38	$1,578.95	$1,821.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.40 / $1,578.95 / $2,537.60	Professional		$1,238.40	$1,578.95	$2,537.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.42 / $1,390.42 / $1,390.42	Facility		$1,390.42	$1,390.42	$1,390.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.66 / $1,756.41 / $2,803.82	Professional		$1,422.66	$1,756.41	$2,803.82
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 $1,223.98 / $1,778.60 / $2,573.84	Professional		$1,223.98	$1,778.60	$2,573.84