Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,598.10 / $8,229.00	Facility		$860.00	$1,598.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.33 / $1,340.06 / $1,713.86	Professional		$1,164.33	$1,340.06	$1,713.86
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 $1,118.33 / $1,355.12 / $1,825.60	Professional		$1,118.33	$1,355.12	$1,825.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,128.25 / $1,548.58 / $1,786.40	Facility		$1,128.25	$1,548.58	$1,786.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.69 / $1,548.58 / $2,212.26	Professional		$1,187.69	$1,548.58	$2,212.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $1,363.27 / $1,363.27	Facility		$1,363.27	$1,363.27	$1,363.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.19 / $1,766.60 / $2,745.91	Professional		$1,409.19	$1,766.60	$2,745.91
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 $1,175.39 / $1,744.37 / $2,524.46	Professional		$1,175.39	$1,744.37	$2,524.46