Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,852.83 / $8,229.00	Facility		$860.00	$1,852.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.32 / $1,810.13 / $2,121.90	Professional		$1,717.32	$1,810.13	$2,121.90
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 $1,440.66 / $1,745.75 / $2,594.14	Professional		$1,440.66	$1,745.75	$2,594.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,767.59 / $2,426.10 / $2,798.68	Facility		$1,767.59	$2,426.10	$2,798.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,906.22 / $2,426.10 / $3,465.86	Professional		$1,906.22	$2,426.10	$3,465.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,871.53 / $2,140.42 / $2,140.42	Facility		$1,871.53	$2,140.42	$2,140.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.68 / $2,408.73 / $3,927.40	Professional		$1,783.68	$2,408.73	$3,927.40
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 $1,654.85 / $2,501.27 / $3,585.52	Professional		$1,654.85	$2,501.27	$3,585.52