Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,995.27 / $8,229.00	Facility		$860.00	$1,995.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.05 / $1,759.15 / $2,247.57	Professional		$1,528.05	$1,759.15	$2,247.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.26 / $1,755.60 / $2,266.41	Professional		$1,492.26	$1,755.60	$2,266.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,488.70 / $2,031.01 / $2,342.91	Facility		$1,488.70	$2,031.01	$2,342.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,418.08 / $2,031.01 / $3,264.12	Professional		$1,418.08	$2,031.01	$3,264.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.42 / $1,787.42 / $2,380.96	Facility		$1,787.42	$1,787.42	$2,380.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.85 / $2,327.71 / $3,666.92	Professional		$1,895.85	$2,327.71	$3,666.92
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 $1,598.53 / $2,627.07 / $3,321.57	Professional		$1,598.53	$2,627.07	$3,321.57