Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,594.43 / $8,229.00	Facility		$787.00	$1,594.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.43 / $1,817.48 / $2,441.04	Professional		$1,594.43	$1,817.48	$2,441.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.42 / $2,233.92 / $2,999.61	Professional		$1,838.42	$2,233.92	$2,999.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,536.60 / $2,109.06 / $2,432.94	Facility		$1,536.60	$2,109.06	$2,432.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,472.57 / $2,109.06 / $3,012.94	Professional		$1,472.57	$2,109.06	$3,012.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.50 / $1,859.50 / $1,859.50	Facility		$1,859.50	$1,859.50	$1,859.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.58 / $2,293.44 / $7,751.86	Professional		$1,549.58	$2,293.44	$7,751.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,449.57 / $2,351.42 / $3,418.38	Professional		$1,449.57	$2,351.42	$3,418.38