Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,551.00 / $8,229.00	Facility		$860.00	$1,551.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.02 / $1,300.63 / $1,663.43	Professional		$1,130.02	$1,300.63	$1,663.43
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 $1,089.03 / $1,319.63 / $1,773.20	Professional		$1,089.03	$1,319.63	$1,773.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,101.34 / $1,502.45 / $1,733.18	Facility		$1,101.34	$1,502.45	$1,733.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.03 / $1,502.45 / $2,414.66	Professional		$1,049.03	$1,502.45	$2,414.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.21 / $1,322.21 / $1,322.21	Facility		$1,322.21	$1,322.21	$1,322.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.32 / $1,714.82 / $2,666.35	Professional		$1,397.32	$1,714.82	$2,666.35
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 $1,187.47 / $1,725.73 / $2,422.08	Professional		$1,187.47	$1,725.73	$2,422.08