Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,453.54 / $8,229.00	Facility		$860.00	$1,453.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.42 / $1,420.82 / $1,684.33	Professional		$1,363.42	$1,420.82	$1,684.33
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 $1,285.69 / $1,557.96 / $2,220.69	Professional		$1,285.69	$1,557.96	$2,220.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,357.80 / $1,849.96 / $2,134.06	Facility		$1,357.80	$1,849.96	$2,134.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.85 / $1,849.96 / $2,642.80	Professional		$1,452.85	$1,849.96	$2,642.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,626.62 / $1,626.62 / $1,790.55	Facility		$1,626.62	$1,626.62	$1,790.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.22 / $2,059.78 / $3,142.19	Professional		$1,493.22	$2,059.78	$3,142.19
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 $1,306.58 / $1,972.94 / $2,809.01	Professional		$1,306.58	$1,972.94	$2,809.01