Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,395.20 / $8,229.00	Facility		$860.00	$1,395.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.82 / $1,222.24 / $1,464.40	Professional		$1,189.82	$1,222.24	$1,464.40
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 $1,060.33 / $1,284.89 / $1,766.30	Professional		$1,060.33	$1,284.89	$1,766.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.96 / $1,535.28 / $1,771.07	Facility		$1,118.96	$1,535.28	$1,771.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,261.11 / $1,535.28 / $2,193.26	Professional		$1,261.11	$1,535.28	$2,193.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.77 / $1,376.12 / $1,376.12	Facility		$1,174.77	$1,376.12	$1,376.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.46 / $1,701.94 / $2,577.21	Professional		$1,166.46	$1,701.94	$2,577.21
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 $1,146.13 / $1,569.51 / $2,355.57	Professional		$1,146.13	$1,569.51	$2,355.57