Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,028.56 / $8,229.00	Facility		$860.00	$2,028.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.62 / $1,962.07 / $2,291.11	Professional		$1,697.62	$1,962.07	$2,291.11
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 $1,542.12 / $1,848.96 / $2,736.55	Professional		$1,542.12	$1,848.96	$2,736.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,821.92 / $2,621.50 / $3,024.10	Facility		$1,821.92	$2,621.50	$3,024.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,056.88 / $2,621.50 / $3,745.00	Professional		$2,056.88	$2,621.50	$3,745.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,997.48 / $2,293.52 / $2,293.52	Facility		$1,997.48	$2,293.52	$2,293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,988.61 / $2,691.24 / $3,873.46	Professional		$1,988.61	$2,691.24	$3,873.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,434.25	Professional		$32.34	$32.34	$2,434.25
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 $1,688.18 / $2,441.34 / $3,891.70	Professional		$1,688.18	$2,441.34	$3,891.70