Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,953.88 / $8,229.00	Facility		$860.00	$1,953.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.83 / $1,905.47 / $2,485.71	Professional		$1,665.83	$1,905.47	$2,485.71
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 $1,210.72 / $1,460.81 / $2,374.17	Professional		$1,210.72	$1,460.81	$2,374.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,619.73 / $2,209.76 / $2,549.12	Facility		$1,619.73	$2,209.76	$2,549.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,720.91 / $2,209.76 / $3,551.40	Professional		$1,720.91	$2,209.76	$3,551.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.33 / $1,942.33 / $2,331.58	Facility		$1,942.33	$1,942.33	$2,331.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,690.25 / $2,307.94 / $3,815.45	Professional		$1,690.25	$2,307.94	$3,815.45
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 $1,393.62 / $2,389.65 / $3,424.50	Professional		$1,393.62	$2,389.65	$3,424.50