Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,413.29 / $8,229.00	Facility		$860.00	$1,413.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.33 / $1,255.69 / $1,427.02	Professional		$1,104.33	$1,255.69	$1,427.02
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 $1,103.34 / $1,337.00 / $1,861.00	Professional		$1,103.34	$1,337.00	$1,861.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,332.13 / $1,798.73 / $2,074.96	Facility		$1,332.13	$1,798.73	$2,074.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,413.29 / $1,798.73 / $2,569.62	Professional		$1,413.29	$1,798.73	$2,569.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.39 / $1,579.39 / $1,812.54	Facility		$1,579.39	$1,579.39	$1,812.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.25 / $1,853.10 / $2,765.71	Professional		$1,345.25	$1,853.10	$2,765.71
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 $1,286.92 / $1,713.80 / $2,628.39	Professional		$1,286.92	$1,713.80	$2,628.39