Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,808.15 / $8,229.00	Facility		$860.00	$1,808.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.51 / $1,800.22 / $2,337.77	Professional		$1,569.51	$1,800.22	$2,337.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $11,253.00 / $32,775.49	Facility		$6,153.00	$11,253.00	$32,775.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.38 / $1,704.21 / $2,396.40	Professional		$1,406.38	$1,704.21	$2,396.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,531.12 / $2,086.44 / $2,406.86	Facility		$1,531.12	$2,086.44	$2,406.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,622.08 / $2,086.44 / $2,980.64	Professional		$1,622.08	$2,086.44	$2,980.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,836.36 / $1,836.36 / $2,157.67	Facility		$1,836.36	$1,836.36	$2,157.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.69 / $2,246.06 / $3,549.73	Professional		$1,843.69	$2,246.06	$3,549.73
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 $1,602.74 / $2,158.14 / $3,208.14	Professional		$1,602.74	$2,158.14	$3,208.14