Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,303.14 / $8,229.00	Facility		$860.00	$1,303.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.24 / $1,307.26 / $1,565.00	Professional		$1,149.24	$1,307.26	$1,565.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.94 / $1,279.56 / $1,815.79	Professional		$1,042.94	$1,279.56	$1,815.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,253.20 / $1,873.79 / $2,161.55	Facility		$1,253.20	$1,873.79	$2,161.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.42 / $1,762.38 / $2,676.84	Professional		$1,338.42	$1,762.38	$2,676.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.55 / $1,644.17 / $1,644.17	Facility		$1,610.55	$1,644.17	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.14 / $1,859.25 / $2,620.91	Professional		$1,370.14	$1,859.25	$2,620.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,739.95	Professional		$32.34	$32.34	$1,739.95
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 $1,329.13 / $1,763.78 / $2,499.55	Professional		$1,329.13	$1,763.78	$2,499.55