Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,518.22 / $8,229.00	Facility		$860.00	$1,518.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.45 / $1,311.94 / $1,564.86	Professional		$1,271.45	$1,311.94	$1,564.86
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 $1,152.33 / $1,396.36 / $1,883.80	Professional		$1,152.33	$1,396.36	$1,883.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.14 / $1,667.18 / $1,923.20	Facility		$1,215.14	$1,667.18	$1,923.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,344.02 / $1,667.18 / $2,381.67	Professional		$1,344.02	$1,667.18	$2,381.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.34 / $1,461.84 / $1,461.84	Facility		$1,278.34	$1,461.84	$1,461.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.83 / $1,833.83 / $2,792.64	Professional		$1,261.83	$1,833.83	$2,792.64
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 $1,178.85 / $1,768.29 / $2,616.65	Professional		$1,178.85	$1,768.29	$2,616.65