Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,944.04 / $8,229.00	Facility		$860.00	$1,944.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.02 / $1,775.34 / $2,268.26	Professional		$1,542.02	$1,775.34	$2,268.26
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 $1,261.23 / $1,528.31 / $2,229.63	Professional		$1,261.23	$1,528.31	$2,229.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,501.64 / $2,048.66 / $2,363.28	Facility		$1,501.64	$2,048.66	$2,363.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,606.75 / $2,048.66 / $2,926.66	Professional		$1,606.75	$2,048.66	$2,926.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,803.35 / $1,803.35 / $2,319.82	Facility		$1,803.35	$1,803.35	$2,319.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.81 / $2,282.78 / $3,628.86	Professional		$1,651.81	$2,282.78	$3,628.86
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 $1,588.43 / $2,306.19 / $3,371.20	Professional		$1,588.43	$2,306.19	$3,371.20