Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,534.75 / $8,229.00	Facility		$860.00	$1,534.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.38 / $1,534.75 / $1,845.39	Professional		$1,499.38	$1,534.75	$1,845.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,162.97 / $1,409.26 / $2,051.61	Professional		$1,162.97	$1,409.26	$2,051.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,440.13 / $1,976.65 / $2,280.21	Facility		$1,440.13	$1,976.65	$2,280.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.12 / $1,976.65 / $2,823.78	Professional		$1,380.12	$1,976.65	$2,823.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,775.84 / $1,887.18 / $1,887.18	Professional		$1,775.84	$1,887.18	$1,887.18
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 $1,331.37 / $2,096.16 / $2,912.56	Professional		$1,331.37	$2,096.16	$2,912.56