Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,927.07 / $7,702.00	Facility		$991.00	$1,927.07	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.77 / $1,791.97 / $2,123.65	Professional		$1,527.77	$1,791.97	$2,123.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $26,311.85 / $79,432.60	Facility		$6,559.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.55 / $1,786.39 / $2,609.60	Professional		$1,470.55	$1,786.39	$2,609.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,599.58 / $2,358.79 / $2,721.03	Facility		$1,599.58	$2,358.79	$2,721.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,684.85 / $2,358.79 / $3,369.70	Professional		$1,684.85	$2,358.79	$3,369.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,091.12	Facility		$2,083.80	$2,083.80	$2,091.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.17 / $2,570.09 / $3,545.32	Professional		$1,826.17	$2,570.09	$3,545.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,190.31	Professional		$32.34	$32.34	$2,190.31
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 $1,668.80 / $2,320.42 / $3,493.56	Professional		$1,668.80	$2,320.42	$3,493.56