Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,476.94 / $13,304.00	Facility		$860.00	$1,476.94	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.01 / $1,209.21 / $1,476.94	Professional		$1,200.01	$1,209.21	$1,476.94
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 $1,088.82 / $1,322.97 / $1,737.72	Professional		$1,088.82	$1,322.97	$1,737.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.83 / $1,573.35 / $1,814.98	Facility		$1,146.83	$1,573.35	$1,814.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.39 / $1,573.35 / $2,247.64	Professional		$1,292.39	$1,573.35	$2,247.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.52 / $1,380.52 / $1,380.52	Facility		$1,380.52	$1,380.52	$1,380.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.89 / $1,680.28 / $2,635.60	Professional		$1,178.89	$1,680.28	$2,635.60
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 $1,117.11 / $1,675.68 / $2,385.37	Professional		$1,117.11	$1,675.68	$2,385.37