Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,368.24 / $8,229.00	Facility		$860.00	$1,368.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.70 / $1,147.20 / $1,451.01	Professional		$1,111.70	$1,147.20	$1,451.01
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 $1,021.18 / $1,237.43 / $1,774.80	Professional		$1,021.18	$1,237.43	$1,774.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.44 / $1,457.74 / $1,681.60	Facility		$1,062.44	$1,457.74	$1,681.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.24 / $1,457.74 / $2,342.79	Professional		$1,041.24	$1,457.74	$2,342.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.77 / $1,279.26 / $1,279.26	Facility		$1,221.77	$1,279.26	$1,279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.29 / $1,608.51 / $2,411.46	Professional		$1,092.29	$1,608.51	$2,411.46
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 $1,086.29 / $1,567.04 / $2,343.51	Professional		$1,086.29	$1,567.04	$2,343.51