Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,689.77 / $7,702.00	Facility		$991.00	$1,689.77	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.64 / $1,554.25 / $1,936.43	Professional		$1,339.64	$1,554.25	$1,936.43
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 $1,182.77 / $1,411.10 / $2,063.69	Professional		$1,182.77	$1,411.10	$2,063.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,430.79 / $2,072.92 / $2,391.26	Facility		$1,430.79	$2,072.92	$2,391.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,447.35 / $2,072.92 / $2,961.32	Professional		$1,447.35	$2,072.92	$2,961.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,906.76	Facility		$1,815.97	$1,815.97	$1,906.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.31 / $2,160.29 / $2,986.37	Professional		$1,513.31	$2,160.29	$2,986.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,924.86	Professional		$32.34	$32.34	$1,924.86
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 $1,463.78 / $2,078.33 / $3,054.56	Professional		$1,463.78	$2,078.33	$3,054.56