Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,914.39 / $8,229.00	Facility		$860.00	$1,914.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,517.72 / $1,761.74 / $3,198.40	Professional		$1,517.72	$1,761.74	$3,198.40
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 $1,646.38 / $1,995.03 / $3,164.21	Professional		$1,646.38	$1,995.03	$3,164.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,624.52 / $2,349.34 / $2,710.14	Facility		$1,624.52	$2,349.34	$2,710.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,844.75 / $2,349.34 / $3,356.20	Professional		$1,844.75	$2,349.34	$3,356.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $3,149.41	Facility		$2,057.66	$2,057.66	$3,149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.82 / $2,814.66 / $4,249.25	Professional		$1,842.82	$2,814.66	$4,249.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,181.53	Professional		$32.34	$32.34	$2,181.53
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,757.57 / $2,547.58 / $3,726.40	Professional		$1,757.57	$2,547.58	$3,726.40