Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,774.71 / $7,702.00	Facility		$991.00	$1,774.71	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.16 / $1,666.37 / $2,199.14	Professional		$1,430.16	$1,666.37	$2,199.14
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 $1,198.84 / $1,570.23 / $2,340.84	Professional		$1,198.84	$1,570.23	$2,340.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,559.39 / $2,194.17 / $2,605.58	Facility		$1,559.39	$2,194.17	$2,605.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,577.07 / $2,200.21 / $3,226.74	Professional		$1,577.07	$2,200.21	$3,226.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.73 / $1,977.73 / $1,977.73	Facility		$1,977.73	$1,977.73	$1,977.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.69 / $2,319.96 / $3,508.14	Professional		$1,582.69	$2,319.96	$3,508.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,097.38	Professional		$32.34	$32.34	$2,097.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $19,085.00	Facility		$1,168.00	$6,186.00	$19,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.46 / $2,129.11 / $3,357.51	Professional		$1,563.46	$2,129.11	$3,357.51