Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,794.96 / $8,229.00	Facility		$860.00	$1,794.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.03 / $1,627.55 / $1,794.96	Professional		$1,423.03	$1,627.55	$1,794.96
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 $1,261.06 / $1,553.12 / $2,405.06	Professional		$1,261.06	$1,553.12	$2,405.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,539.83 / $2,181.65 / $2,516.67	Facility		$1,539.83	$2,181.65	$2,516.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,558.32 / $2,181.65 / $3,116.64	Professional		$1,558.32	$2,181.65	$3,116.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,524.65 / $1,910.77 / $1,910.77	Facility		$1,524.65	$1,910.77	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.52 / $2,230.02 / $3,212.61	Professional		$1,572.52	$2,230.02	$3,212.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,025.82	Professional		$32.34	$32.34	$2,025.82
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 $1,512.43 / $1,985.76 / $3,277.82	Professional		$1,512.43	$1,985.76	$3,277.82