Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,956.55 / $8,229.00	Facility		$860.00	$1,956.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.83 / $1,956.55 / $2,512.91	Professional		$1,708.83	$1,956.55	$2,512.91
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 $1,546.01 / $1,873.41 / $2,417.08	Professional		$1,546.01	$1,873.41	$2,417.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,654.00 / $2,270.17 / $2,618.83	Facility		$1,654.00	$2,270.17	$2,618.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,780.37 / $2,270.17 / $3,243.12	Professional		$1,780.37	$2,270.17	$3,243.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.15 / $1,999.15 / $1,999.15	Facility		$1,999.15	$1,999.15	$1,999.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.35 / $2,536.44 / $3,776.84	Professional		$2,045.35	$2,536.44	$3,776.84
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 $1,762.26 / $2,839.07 / $3,707.44	Professional		$1,762.26	$2,839.07	$3,707.44