Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,387.01 / $8,229.00	Facility		$860.00	$1,387.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.77 / $1,300.08 / $1,602.53	Professional		$1,254.77	$1,300.08	$1,602.53
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 $1,175.66 / $1,424.63 / $1,933.35	Professional		$1,175.66	$1,424.63	$1,933.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,296.06 / $1,765.29 / $2,036.38	Facility		$1,296.06	$1,765.29	$2,036.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,378.25 / $1,765.29 / $2,521.84	Professional		$1,378.25	$1,765.29	$2,521.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.95 / $1,551.95 / $1,618.69	Facility		$1,551.95	$1,551.95	$1,618.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.29 / $1,882.62 / $2,967.77	Professional		$1,379.29	$1,882.62	$2,967.77
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 $1,200.01 / $1,804.10 / $2,588.85	Professional		$1,200.01	$1,804.10	$2,588.85