Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,634.21 / $8,229.00	Facility		$860.00	$1,634.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.93 / $1,388.29 / $1,880.11	Professional		$1,221.93	$1,388.29	$1,880.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.66 / $1,377.25 / $1,953.60	Professional		$1,161.66	$1,377.25	$1,953.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,189.44 / $1,632.57 / $1,883.28	Facility		$1,189.44	$1,632.57	$1,883.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,341.04 / $1,632.57 / $2,332.23	Professional		$1,341.04	$1,632.57	$2,332.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.39 / $1,432.39 / $1,558.79	Facility		$1,432.39	$1,432.39	$1,558.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.71 / $1,802.51 / $2,944.54	Professional		$1,308.71	$1,802.51	$2,944.54
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 $1,268.93 / $1,788.15 / $2,630.17	Professional		$1,268.93	$1,788.15	$2,630.17