Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,003.91 / $8,229.00	Facility		$860.00	$2,003.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.09 / $1,806.21 / $2,308.33	Professional		$1,569.09	$1,806.21	$2,308.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,463.36 / $1,741.92 / $2,403.77	Professional		$1,463.36	$1,741.92	$2,403.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,529.38 / $2,086.42 / $2,406.84	Facility		$1,529.38	$2,086.42	$2,406.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,598.91 / $2,086.42 / $2,980.62	Professional		$1,598.91	$2,086.42	$2,980.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.94 / $1,835.94 / $2,391.28	Facility		$1,835.94	$1,835.94	$2,391.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.00 / $2,433.61 / $3,886.94	Professional		$1,995.00	$2,433.61	$3,886.94
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 $1,617.92 / $2,371.34 / $3,403.00	Professional		$1,617.92	$2,371.34	$3,403.00