Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,710.33 / $8,229.00	Facility		$860.00	$1,710.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.94 / $1,573.78 / $1,891.88	Professional		$1,355.94	$1,573.78	$1,891.88
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 $1,241.83 / $1,556.00 / $2,334.67	Professional		$1,241.83	$1,556.00	$2,334.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.96 / $2,098.53 / $2,420.81	Facility		$1,450.96	$2,098.53	$2,420.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,465.22 / $2,049.66 / $2,997.90	Professional		$1,465.22	$2,049.66	$2,997.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,862.90	Facility		$1,838.16	$1,838.16	$1,862.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.51 / $2,196.35 / $3,117.52	Professional		$1,592.51	$2,196.35	$3,117.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,948.64	Professional		$32.34	$32.34	$1,948.64
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 $1,438.92 / $2,031.32 / $3,073.08	Professional		$1,438.92	$2,031.32	$3,073.08