Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,373.50 / $7,702.00	Facility		$991.00	$2,373.50	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $2,145.91 / $2,452.54	Professional		$1,733.00	$2,145.91	$2,452.54
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 $1,603.90 / $1,886.95 / $2,865.75	Professional		$1,603.90	$1,886.95	$2,865.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,008.43 / $2,934.51 / $3,484.73	Facility		$2,008.43	$2,934.51	$3,484.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,373.50 / $3,020.82 / $3,560.25	Professional		$2,373.50	$3,020.82	$3,560.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.34 / $2,842.12 / $3,939.58	Professional		$2,099.34	$2,842.12	$3,939.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,805.05	Professional		$32.34	$32.34	$2,805.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,957.70 / $2,720.24 / $4,347.14	Professional		$1,957.70	$2,720.24	$4,347.14