Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,984.56 / $8,229.00	Facility		$860.00	$1,984.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.20 / $1,680.14 / $1,999.02	Professional		$1,624.20	$1,680.14	$1,999.02
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 $1,473.06 / $1,785.01 / $2,601.10	Professional		$1,473.06	$1,785.01	$2,601.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,551.37 / $2,129.33 / $2,456.34	Facility		$1,551.37	$2,129.33	$2,456.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,714.75 / $2,129.33 / $3,041.90	Professional		$1,714.75	$2,129.33	$3,041.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.01 / $1,867.42 / $1,867.42	Facility		$1,671.01	$1,867.42	$1,867.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.86 / $2,347.46 / $3,580.31	Professional		$1,607.86	$2,347.46	$3,580.31
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 $1,606.97 / $2,332.07 / $3,266.07	Professional		$1,606.97	$2,332.07	$3,266.07