Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,441.03 / $8,229.00	Facility		$860.00	$1,441.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.57 / $1,246.57 / $1,486.25	Professional		$1,207.57	$1,246.57	$1,486.25
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 $1,084.07 / $1,313.64 / $1,855.70	Professional		$1,084.07	$1,313.64	$1,855.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $1,584.72 / $1,828.09	Facility		$1,154.58	$1,584.72	$1,828.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,131.94 / $1,584.72 / $2,546.87	Professional		$1,131.94	$1,584.72	$2,546.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,213.36 / $1,389.83 / $1,389.83	Facility		$1,213.36	$1,389.83	$1,389.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.28 / $1,731.76 / $2,634.84	Professional		$1,185.28	$1,731.76	$2,634.84
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 $1,109.03 / $1,663.55 / $2,457.89	Professional		$1,109.03	$1,663.55	$2,457.89