Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,553.23 / $8,229.00	Facility		$860.00	$1,553.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.94 / $1,455.83 / $1,580.36	Professional		$1,319.94	$1,455.83	$1,580.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.83 / $1,453.93 / $2,070.44	Professional		$1,199.83	$1,453.93	$2,070.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,447.06 / $1,976.84 / $2,280.44	Facility		$1,447.06	$1,976.84	$2,280.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,623.83 / $1,976.84 / $3,177.07	Professional		$1,623.83	$1,976.84	$3,177.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,502.74 / $1,743.08 / $1,743.08	Facility		$1,502.74	$1,743.08	$1,743.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.92 / $1,997.33 / $3,030.96	Professional		$1,477.92	$1,997.33	$3,030.96
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 $1,288.83 / $2,010.71 / $2,963.19	Professional		$1,288.83	$2,010.71	$2,963.19