Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,317.98 / $7,702.00	Facility		$991.00	$2,317.98	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,837.68 / $2,131.96 / $2,577.48	Professional		$1,837.68	$2,131.96	$2,577.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $26,311.85 / $79,432.60	Facility		$8,584.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,752.94 / $2,189.46 / $3,219.50	Professional		$1,752.94	$2,189.46	$3,219.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,962.85 / $2,843.23 / $3,279.88	Facility		$1,962.85	$2,843.23	$3,279.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,233.96 / $2,843.23 / $4,061.76	Professional		$2,233.96	$2,843.23	$4,061.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.91 / $2,490.91 / $2,538.00	Facility		$2,490.91	$2,490.91	$2,538.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,186.50 / $3,034.45 / $4,308.01	Professional		$2,186.50	$3,034.45	$4,308.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,640.14	Professional		$32.34	$32.34	$2,640.14
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 $1,999.08 / $2,835.97 / $4,275.02	Professional		$1,999.08	$2,835.97	$4,275.02