Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,890.25 / $10,647.00	Facility		$860.00	$1,890.25	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.48 / $1,488.15 / $1,937.62	Professional		$1,300.48	$1,488.15	$1,937.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $24,626.72	Facility		$6,153.00	$10,099.00	$24,626.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.71 / $1,316.84 / $1,686.77	Professional		$1,086.71	$1,316.84	$1,686.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,212.28 / $1,661.31 / $1,916.44	Facility		$1,212.28	$1,661.31	$1,916.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,159.95 / $1,661.31 / $2,373.30	Professional		$1,159.95	$1,661.31	$2,373.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.23 / $1,473.23 / $1,473.23	Facility		$1,473.23	$1,473.23	$1,473.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.51 / $1,831.85 / $3,315.44	Professional		$1,333.51	$1,831.85	$3,315.44
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 $1,295.13 / $2,021.58 / $2,826.91	Professional		$1,295.13	$2,021.58	$2,826.91