Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,536.71 / $8,229.00	Facility		$860.00	$1,536.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.68 / $1,451.40 / $1,865.83	Professional		$1,262.68	$1,451.40	$1,865.83
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 $940.61 / $1,139.80 / $1,828.90	Professional		$940.61	$1,139.80	$1,828.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.42 / $1,675.09 / $1,932.34	Facility		$1,220.42	$1,675.09	$1,932.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,289.61 / $1,675.09 / $2,392.98	Professional		$1,289.61	$1,675.09	$2,392.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.29 / $1,478.29 / $1,833.77	Facility		$1,478.29	$1,478.29	$1,833.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.08 / $1,813.44 / $2,975.09	Professional		$1,351.08	$1,813.44	$2,975.09
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 $1,284.29 / $1,857.53 / $2,673.11	Professional		$1,284.29	$1,857.53	$2,673.11