Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,366.57 / $8,229.00	Facility		$991.00	$1,366.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.97 / $1,163.61 / $1,387.04	Professional		$1,126.97	$1,163.61	$1,387.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.02 / $1,237.25 / $1,670.60	Professional		$1,021.02	$1,237.25	$1,670.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.31 / $1,478.67 / $1,705.74	Facility		$1,077.31	$1,478.67	$1,705.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.81 / $1,478.67 / $2,112.38	Professional		$1,161.81	$1,478.67	$2,112.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.67 / $1,297.70 / $1,297.70	Facility		$1,150.67	$1,297.70	$1,297.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.15 / $1,612.31 / $2,464.85	Professional		$1,108.15	$1,612.31	$2,464.85
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 $1,106.19 / $1,512.68 / $2,242.73	Professional		$1,106.19	$1,512.68	$2,242.73