Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,481.77 / $8,229.00	Facility		$860.00	$1,481.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.81 / $1,559.79 / $2,041.37	Professional		$1,362.81	$1,559.79	$2,041.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.67 / $1,315.58 / $1,916.13	Professional		$1,049.67	$1,315.58	$1,916.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.06 / $1,817.90 / $2,097.09	Facility		$1,336.06	$1,817.90	$2,097.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.53 / $1,817.90 / $2,597.00	Professional		$1,422.53	$1,817.90	$2,597.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.38 / $1,595.57 / $1,595.57	Facility		$1,413.38	$1,595.57	$1,595.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.34 / $1,829.50 / $2,818.77	Professional		$1,427.34	$1,829.50	$2,818.77
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 / $2,723.00 / $11,156.00	Facility		$599.00	$2,723.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,353.55 / $1,713.95 / $2,756.66	Professional		$1,353.55	$1,713.95	$2,756.66