Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,421.25 / $8,229.00	Facility		$860.00	$1,421.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.16 / $1,276.41 / $1,521.42	Professional		$1,236.16	$1,276.41	$1,521.42
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 $1,106.66 / $1,341.02 / $1,850.77	Professional		$1,106.66	$1,341.02	$1,850.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,184.58 / $1,624.43 / $1,873.89	Facility		$1,184.58	$1,624.43	$1,873.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,276.33 / $1,624.43 / $2,320.62	Professional		$1,276.33	$1,624.43	$2,320.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.71 / $1,423.42 / $1,423.42	Facility		$1,196.71	$1,423.42	$1,423.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.74 / $1,710.67 / $2,692.50	Professional		$1,210.74	$1,710.67	$2,692.50
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 $1,132.14 / $1,694.67 / $2,449.28	Professional		$1,132.14	$1,694.67	$2,449.28