Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,266.80 / $7,702.00	Facility		$991.00	$2,266.80	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,797.11 / $2,083.77 / $3,570.21	Professional		$1,797.11	$2,083.77	$3,570.21
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 $1,766.48 / $2,173.92 / $3,187.20	Professional		$1,766.48	$2,173.92	$3,187.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,915.94 / $2,779.38 / $3,206.21	Facility		$1,915.94	$2,779.38	$3,206.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,879.08 / $2,779.38 / $3,970.54	Professional		$1,879.08	$2,779.38	$3,970.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,504.67	Facility		$2,435.28	$2,435.28	$2,504.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.31 / $2,954.78 / $4,199.08	Professional		$2,154.31	$2,954.78	$4,199.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,580.85	Professional		$32.34	$32.34	$2,580.85
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 $2,007.17 / $2,808.71 / $4,207.47	Professional		$2,007.17	$2,808.71	$4,207.47