Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,214.22 / $8,229.00	Facility		$860.00	$1,214.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.40 / $1,182.93 / $1,457.48	Professional		$1,132.40	$1,182.93	$1,457.48
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 $1,065.16 / $1,293.63 / $1,782.70	Professional		$1,065.16	$1,293.63	$1,782.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.47 / $1,545.38 / $1,782.69	Facility		$1,126.47	$1,545.38	$1,782.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,545.38 / $2,207.67	Professional		$1,079.00	$1,545.38	$2,207.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.21 / $1,355.47 / $1,355.47	Facility		$1,227.21	$1,355.47	$1,355.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.17 / $1,685.32 / $2,577.17	Professional		$1,156.17	$1,685.32	$2,577.17
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 $1,103.28 / $1,565.99 / $2,339.69	Professional		$1,103.28	$1,565.99	$2,339.69