Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,081.63 / $7,702.00	Facility		$991.00	$2,081.63	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.64 / $1,881.64 / $2,147.64	Professional		$1,702.64	$1,881.64	$2,147.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $26,311.85 / $79,432.60	Facility		$5,350.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.44 / $1,436.99 / $2,362.34	Professional		$1,221.44	$1,436.99	$2,362.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,768.18 / $2,573.65 / $3,056.21	Facility		$1,768.18	$2,573.65	$3,056.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,849.81 / $2,649.35 / $3,122.44	Professional		$1,849.81	$2,649.35	$3,122.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.28 / $2,326.28 / $2,326.28	Facility		$2,326.28	$2,326.28	$2,326.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,817.40 / $2,548.82 / $3,490.48	Professional		$1,817.40	$2,548.82	$3,490.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,460.11	Professional		$32.34	$32.34	$2,460.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,683.80 / $2,365.88 / $3,788.15	Professional		$1,683.80	$2,365.88	$3,788.15