Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $8,229.00	Facility		$860.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.16 / $1,670.23 / $1,963.30	Professional		$1,447.16	$1,670.23	$1,963.30
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 $1,357.96 / $1,636.00 / $2,431.30	Professional		$1,357.96	$1,636.00	$2,431.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,550.21 / $2,232.58 / $2,575.44	Facility		$1,550.21	$2,232.58	$2,575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,751.32 / $2,232.58 / $3,189.40	Professional		$1,751.32	$2,232.58	$3,189.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,933.22 / $1,952.89 / $1,952.89	Facility		$1,933.22	$1,952.89	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.60 / $2,314.50 / $3,310.15	Professional		$1,656.60	$2,314.50	$3,310.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,073.11	Professional		$32.34	$32.34	$2,073.11
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 $1,585.91 / $2,216.98 / $3,429.40	Professional		$1,585.91	$2,216.98	$3,429.40