Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,730.36 / $7,702.00	Facility		$991.00	$1,730.36	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.81 / $1,591.61 / $1,947.84	Professional		$1,371.81	$1,591.61	$1,947.84
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 $1,191.19 / $1,443.44 / $2,136.31	Professional		$1,191.19	$1,443.44	$2,136.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,466.87 / $2,122.81 / $2,448.82	Facility		$1,466.87	$2,122.81	$2,448.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,666.61 / $2,122.81 / $3,032.58	Professional		$1,666.61	$2,122.81	$3,032.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,918.00	Facility		$1,859.26	$1,859.26	$1,918.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.77 / $2,180.61 / $3,094.58	Professional		$1,543.77	$2,180.61	$3,094.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,971.18	Professional		$32.34	$32.34	$1,971.18
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 $1,460.80 / $2,097.51 / $3,264.48	Professional		$1,460.80	$2,097.51	$3,264.48