Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,367.22 / $8,229.00	Facility		$860.00	$1,367.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.08 / $1,173.77 / $1,399.50	Professional		$1,137.08	$1,173.77	$1,399.50
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 $1,032.18 / $1,250.77 / $1,708.10	Professional		$1,032.18	$1,250.77	$1,708.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.53 / $1,492.15 / $1,721.31	Facility		$1,087.53	$1,492.15	$1,721.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,163.66 / $1,492.15 / $2,131.64	Professional		$1,163.66	$1,492.15	$2,131.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.21 / $1,308.88 / $1,308.88	Facility		$1,151.21	$1,308.88	$1,308.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.97 / $1,630.02 / $2,470.12	Professional		$1,117.97	$1,630.02	$2,470.12
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 $1,142.03 / $1,583.93 / $2,398.53	Professional		$1,142.03	$1,583.93	$2,398.53