Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,283.92 / $8,229.00	Facility		$860.00	$1,283.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.95 / $1,140.82 / $1,295.20	Professional		$1,002.95	$1,140.82	$1,295.20
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 $970.57 / $1,176.10 / $1,684.67	Professional		$970.57	$1,176.10	$1,684.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,210.21 / $1,634.08 / $1,885.03	Facility		$1,210.21	$1,634.08	$1,885.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,283.92 / $1,634.08 / $2,334.40	Professional		$1,283.92	$1,634.08	$2,334.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.85 / $1,434.85 / $1,594.77	Facility		$1,434.85	$1,434.85	$1,594.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.50 / $1,629.57 / $2,439.32	Professional		$1,221.50	$1,629.57	$2,439.32
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 $1,118.38 / $1,561.42 / $2,308.04	Professional		$1,118.38	$1,561.42	$2,308.04