Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,785.12 / $8,229.00	Facility		$860.00	$1,785.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.37 / $1,677.00 / $2,066.96	Professional		$1,631.37	$1,677.00	$2,066.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.16 / $1,691.96 / $2,405.09	Professional		$1,438.16	$1,691.96	$2,405.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,667.07 / $2,271.98 / $2,620.88	Facility		$1,667.07	$2,271.98	$2,620.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,866.27 / $2,271.98 / $3,245.68	Professional		$1,866.27	$2,271.98	$3,245.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,998.59 / $1,998.59 / $1,998.59	Facility		$1,998.59	$1,998.59	$1,998.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.34 / $2,552.90 / $3,841.87	Professional		$1,689.34	$2,552.90	$3,841.87
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 $1,723.14 / $2,555.89 / $3,675.62	Professional		$1,723.14	$2,555.89	$3,675.62