Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,336.79 / $8,229.00	Facility		$860.00	$1,336.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.89 / $1,160.09 / $1,383.25	Professional		$1,123.89	$1,160.09	$1,383.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.91 / $1,233.48 / $1,633.00	Professional		$1,017.91	$1,233.48	$1,633.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.18 / $1,473.88 / $1,700.22	Facility		$1,074.18	$1,473.88	$1,700.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,210.69 / $1,473.88 / $2,105.54	Professional		$1,210.69	$1,473.88	$2,105.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,125.58 / $1,293.49 / $1,293.49	Facility		$1,125.58	$1,293.49	$1,293.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.81 / $1,577.06 / $2,459.63	Professional		$1,104.81	$1,577.06	$2,459.63
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 $1,104.91 / $1,562.03 / $2,235.86	Professional		$1,104.91	$1,562.03	$2,235.86