Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,632.18 / $8,229.00	Facility		$860.00	$1,632.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.98 / $1,480.98 / $1,632.18	Professional		$1,293.98	$1,480.98	$1,632.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.00 / $1,444.46 / $2,191.06	Professional		$1,203.00	$1,444.46	$2,191.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.71 / $1,985.65 / $2,290.58	Facility		$1,401.71	$1,985.65	$2,290.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,418.32 / $1,985.65 / $2,836.64	Professional		$1,418.32	$1,985.65	$2,836.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.30 / $1,738.56 / $1,738.56	Facility		$1,450.30	$1,738.56	$1,738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,448.80 / $2,033.46 / $3,335.48	Professional		$1,448.80	$2,033.46	$3,335.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,843.82	Professional		$32.34	$32.34	$1,843.82
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.19 / $1,864.74 / $2,959.62	Professional		$1,379.19	$1,864.74	$2,959.62