Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,530.03 / $8,229.00	Facility		$860.00	$1,530.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.21 / $1,388.29 / $1,776.76	Professional		$1,206.21	$1,388.29	$1,776.76
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 $1,155.16 / $1,372.43 / $1,884.80	Professional		$1,155.16	$1,372.43	$1,884.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,167.66 / $1,602.66 / $1,848.80	Facility		$1,167.66	$1,602.66	$1,848.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.57 / $1,602.66 / $2,289.52	Professional		$1,230.57	$1,602.66	$2,289.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,410.61 / $1,410.61 / $1,825.78	Facility		$1,410.61	$1,410.61	$1,825.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.55 / $1,774.47 / $2,828.19	Professional		$1,438.55	$1,774.47	$2,828.19
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 $1,240.03 / $1,790.13 / $2,589.01	Professional		$1,240.03	$1,790.13	$2,589.01