Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,461.39 / $8,229.00	Facility		$860.00	$1,461.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.00 / $1,378.09 / $1,730.59	Professional		$1,302.00	$1,378.09	$1,730.59
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 $1,222.92 / $1,481.89 / $2,207.50	Professional		$1,222.92	$1,481.89	$2,207.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,859.96 / $2,145.59	Facility		$1,358.71	$1,859.96	$2,145.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,495.38 / $1,859.96 / $2,657.08	Professional		$1,495.38	$1,859.96	$2,657.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.46 / $1,636.46 / $1,807.60	Facility		$1,636.46	$1,636.46	$1,807.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.79 / $2,007.20 / $3,024.15	Professional		$1,441.79	$2,007.20	$3,024.15
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 $1,216.49 / $1,876.61 / $2,704.42	Professional		$1,216.49	$1,876.61	$2,704.42