Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,331.41 / $8,229.00	Facility		$860.00	$1,331.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.04 / $1,355.29 / $1,518.63	Professional		$1,192.04	$1,355.29	$1,518.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.44 / $1,200.18 / $1,788.23	Professional		$990.44	$1,200.18	$1,788.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,438.51 / $1,942.29 / $2,240.58	Facility		$1,438.51	$1,942.29	$2,240.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,490.18 / $1,942.29 / $2,774.70	Professional		$1,490.18	$1,942.29	$2,774.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,645.48 / $1,704.62 / $1,704.62	Facility		$1,645.48	$1,704.62	$1,704.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.97 / $1,718.95 / $2,636.04	Professional		$1,393.97	$1,718.95	$2,636.04
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 $1,269.10 / $1,596.48 / $2,799.71	Professional		$1,269.10	$1,596.48	$2,799.71