Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,452.43 / $8,229.00	Facility		$860.00	$1,452.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.58 / $1,297.16 / $1,538.09	Professional		$1,133.58	$1,297.16	$1,538.09
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 $1,060.38 / $1,329.61 / $1,913.40	Professional		$1,060.38	$1,329.61	$1,913.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,232.90 / $1,848.55 / $2,132.42	Facility		$1,232.90	$1,848.55	$2,132.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,320.39 / $1,731.04 / $2,640.78	Professional		$1,320.39	$1,731.04	$2,640.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,846.17	Facility		$1,621.57	$1,621.57	$1,846.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.12 / $1,897.60 / $2,689.52	Professional		$1,394.12	$1,897.60	$2,689.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,716.51	Professional		$32.34	$32.34	$1,716.51
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 $1,256.23 / $1,714.74 / $2,469.61	Professional		$1,256.23	$1,714.74	$2,469.61