Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,983.94 / $8,229.00	Facility		$860.00	$1,983.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.80 / $1,983.94 / $2,325.19	Professional		$1,885.80	$1,983.94	$2,325.19
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 $1,497.87 / $1,815.07 / $2,846.37	Professional		$1,497.87	$1,815.07	$2,846.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,948.23 / $2,658.78 / $3,067.09	Facility		$1,948.23	$2,658.78	$3,067.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.04 / $2,658.78 / $3,798.26	Professional		$2,089.04	$2,658.78	$3,798.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,955.41 / $2,346.01 / $2,346.01	Facility		$1,955.41	$2,346.01	$2,346.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,955.01 / $2,636.89 / $4,296.93	Professional		$1,955.01	$2,636.89	$4,296.93
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 $1,808.94 / $2,578.10 / $4,014.61	Professional		$1,808.94	$2,578.10	$4,014.61