Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,747.93 / $8,229.00	Facility		$860.00	$1,747.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.99 / $1,505.00 / $1,796.11	Professional		$1,315.99	$1,505.00	$1,796.11
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 $1,273.92 / $1,590.47 / $2,138.19	Professional		$1,273.92	$1,590.47	$2,138.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,423.04 / $2,012.91 / $2,322.03	Facility		$1,423.04	$2,012.91	$2,322.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,581.57 / $2,012.91 / $2,875.58	Professional		$1,581.57	$2,012.91	$2,875.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.15 / $1,765.39 / $1,765.39	Facility		$1,721.15	$1,765.39	$1,765.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.40 / $2,156.82 / $3,095.55	Professional		$1,568.40	$2,156.82	$3,095.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,869.13	Professional		$32.34	$32.34	$1,869.13
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 $1,452.17 / $2,056.07 / $3,150.63	Professional		$1,452.17	$2,056.07	$3,150.63