Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,357.34 / $8,229.00	Facility		$860.00	$1,357.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.01 / $1,322.16 / $1,568.74	Professional		$1,266.01	$1,322.16	$1,568.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.00 / $1,443.22 / $2,068.90	Professional		$1,191.00	$1,443.22	$2,068.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.63 / $1,727.53 / $1,992.83	Facility		$1,258.63	$1,727.53	$1,992.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,392.33 / $1,727.53 / $2,467.90	Professional		$1,392.33	$1,727.53	$2,467.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,320.90 / $1,514.36 / $1,514.36	Facility		$1,320.90	$1,514.36	$1,514.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.53 / $1,888.96 / $2,883.98	Professional		$1,294.53	$1,888.96	$2,883.98
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 $1,233.92 / $1,827.63 / $2,777.23	Professional		$1,233.92	$1,827.63	$2,777.23