Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,625.27 / $8,229.00	Facility		$860.00	$1,625.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.25 / $1,625.27 / $2,095.23	Professional		$1,423.25	$1,625.27	$2,095.23
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 $1,328.27 / $1,609.56 / $2,035.22	Professional		$1,328.27	$1,609.56	$2,035.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.98 / $1,892.13 / $2,182.69	Facility		$1,386.98	$1,892.13	$2,182.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,484.07 / $1,892.13 / $2,703.04	Professional		$1,484.07	$1,892.13	$2,703.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.36 / $1,666.36 / $1,666.36	Facility		$1,666.36	$1,666.36	$1,666.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.95 / $2,169.89 / $3,172.73	Professional		$1,757.95	$2,169.89	$3,172.73
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 $1,436.51 / $2,361.33 / $3,112.74	Professional		$1,436.51	$2,361.33	$3,112.74