Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,789.58 / $8,229.00	Facility		$860.00	$1,789.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.91 / $1,679.78 / $2,072.73	Professional		$1,622.91	$1,679.78	$2,072.73
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 $1,567.10 / $1,898.96 / $2,845.50	Professional		$1,567.10	$1,898.96	$2,845.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,866.86 / $2,277.65 / $2,627.43	Facility		$1,866.86	$2,277.65	$2,627.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,789.58 / $2,277.65 / $3,253.78	Professional		$1,789.58	$2,277.65	$3,253.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,003.58 / $2,003.58 / $2,153.48	Facility		$2,003.58	$2,003.58	$2,153.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.61 / $2,460.39 / $3,948.73	Professional		$1,838.61	$2,460.39	$3,948.73
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 $1,582.37 / $2,404.76 / $3,467.04	Professional		$1,582.37	$2,404.76	$3,467.04