Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,916.67 / $8,229.00	Facility		$860.00	$1,916.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.28 / $1,916.67 / $2,215.98	Professional		$1,850.28	$1,916.67	$2,215.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.63 / $1,754.19 / $2,751.82	Professional		$1,447.63	$1,754.19	$2,751.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,883.23 / $2,573.76 / $2,969.02	Facility		$1,883.23	$2,573.76	$2,969.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,015.06 / $2,573.76 / $4,136.39	Professional		$2,015.06	$2,573.76	$4,136.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,785.48 / $2,271.00 / $2,271.00	Facility		$1,785.48	$2,271.00	$2,271.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.84 / $2,515.10 / $4,268.42	Professional		$1,907.84	$2,515.10	$4,268.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.88 / $2,394.80 / $3,621.08	Professional		$1,752.88	$2,394.80	$3,621.08