Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,966.51 / $8,229.00	Facility		$860.00	$1,966.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $1,819.00 / $2,324.04	Professional		$1,580.00	$1,819.00	$2,324.04
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 $1,283.83 / $1,555.71 / $2,274.33	Professional		$1,283.83	$1,555.71	$2,274.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,538.68 / $2,099.23 / $2,421.61	Facility		$1,538.68	$2,099.23	$2,421.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,609.01 / $2,099.23 / $2,998.90	Professional		$1,609.01	$2,099.23	$2,998.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.95 / $1,847.95 / $2,346.65	Facility		$1,847.95	$1,847.95	$2,346.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.63 / $2,302.31 / $3,825.04	Professional		$1,731.63	$2,302.31	$3,825.04
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 $1,628.21 / $2,363.21 / $3,423.35	Professional		$1,628.21	$2,363.21	$3,423.35