Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,446.61 / $8,229.00	Facility		$860.00	$1,446.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.27 / $1,357.53 / $1,473.13	Professional		$1,231.27	$1,357.53	$1,473.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,987.00 / $21,322.13	Facility		$7,062.90	$9,987.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.65 / $1,307.07 / $1,929.97	Professional		$1,078.65	$1,307.07	$1,929.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,341.41 / $1,841.14 / $2,123.90	Facility		$1,341.41	$1,841.14	$2,123.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,512.37 / $1,841.14 / $2,630.20	Professional		$1,512.37	$1,841.14	$2,630.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.86 / $1,623.77 / $1,623.77	Facility		$1,437.86	$1,623.77	$1,623.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.05 / $1,812.35 / $2,832.97	Professional		$1,375.05	$1,812.35	$2,832.97
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 $1,208.74 / $1,871.39 / $2,767.18	Professional		$1,208.74	$1,871.39	$2,767.18