Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,841.78 / $8,229.00	Facility		$860.00	$1,841.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.55 / $1,772.84 / $2,317.29	Professional		$1,550.55	$1,772.84	$2,317.29
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 $1,415.53 / $1,715.30 / $2,413.80	Professional		$1,415.53	$1,715.30	$2,413.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.90 / $2,060.73 / $2,377.21	Facility		$1,510.90	$2,060.73	$2,377.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,471.96 / $2,060.73 / $2,943.92	Professional		$1,471.96	$2,060.73	$2,943.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.35 / $1,808.35 / $2,197.82	Facility		$1,808.35	$1,808.35	$2,197.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,852.57 / $2,224.91 / $3,563.13	Professional		$1,852.57	$2,224.91	$3,563.13
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 $1,599.40 / $2,371.28 / $3,339.49	Professional		$1,599.40	$2,371.28	$3,339.49