Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,416.52 / $8,229.00	Facility		$860.00	$1,416.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.94 / $1,296.09 / $1,615.18	Professional		$1,239.94	$1,296.09	$1,615.18
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 $1,019.79 / $1,235.75 / $1,731.90	Professional		$1,019.79	$1,235.75	$1,731.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.69 / $1,671.92 / $1,928.69	Facility		$1,228.69	$1,671.92	$1,928.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.70 / $1,671.92 / $2,388.46	Professional		$1,314.70	$1,671.92	$2,388.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.72 / $1,467.50 / $1,467.50	Facility		$1,192.72	$1,467.50	$1,467.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.92 / $1,652.85 / $2,582.58	Professional		$1,222.92	$1,652.85	$2,582.58
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 $1,094.29 / $1,591.05 / $2,427.75	Professional		$1,094.29	$1,591.05	$2,427.75