Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,413.13 / $8,229.00	Facility		$860.00	$1,413.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.13 / $1,206.23 / $1,438.93	Professional		$1,169.13	$1,206.23	$1,438.93
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 $1,063.59 / $1,288.83 / $1,735.60	Professional		$1,063.59	$1,288.83	$1,735.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.69 / $1,533.53 / $1,769.03	Facility		$1,117.69	$1,533.53	$1,769.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,070.73 / $1,533.53 / $2,464.61	Professional		$1,070.73	$1,533.53	$2,464.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.88 / $1,344.66 / $1,344.66	Facility		$1,189.88	$1,344.66	$1,344.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.67 / $1,663.46 / $2,623.72	Professional		$1,148.67	$1,663.46	$2,623.72
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 $1,088.08 / $1,582.01 / $2,324.78	Professional		$1,088.08	$1,582.01	$2,324.78