Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,227.36 / $8,229.00	Facility		$860.00	$2,227.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.97 / $2,037.24 / $2,645.75	Professional		$1,746.97	$2,037.24	$2,645.75
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 $1,588.58 / $1,996.95 / $2,932.14	Professional		$1,588.58	$1,996.95	$2,932.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,888.10 / $2,721.45 / $3,139.39	Facility		$1,888.10	$2,721.45	$3,139.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,138.28 / $2,721.45 / $3,887.78	Professional		$2,138.28	$2,721.45	$3,887.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,431.32	Facility		$2,382.40	$2,382.40	$2,431.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.33 / $2,792.63 / $4,162.87	Professional		$1,985.33	$2,792.63	$4,162.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,527.06	Professional		$32.34	$32.34	$2,527.06
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 $1,936.94 / $2,595.96 / $4,192.42	Professional		$1,936.94	$2,595.96	$4,192.42