Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,425.99 / $8,229.00	Facility		$860.00	$1,425.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.15 / $1,230.01 / $1,467.26	Professional		$1,192.15	$1,230.01	$1,467.26
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 $1,045.34 / $1,274.94 / $1,656.80	Professional		$1,045.34	$1,274.94	$1,656.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.91 / $1,562.81 / $1,802.82	Facility		$1,138.91	$1,562.81	$1,802.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,259.66 / $1,562.81 / $2,232.58	Professional		$1,259.66	$1,562.81	$2,232.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.70 / $1,370.87 / $1,370.87	Facility		$1,200.70	$1,370.87	$1,370.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.96 / $1,691.75 / $2,602.46	Professional		$1,171.96	$1,691.75	$2,602.46
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 $1,076.35 / $1,614.54 / $2,371.90	Professional		$1,076.35	$1,614.54	$2,371.90