Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,182.78 / $8,229.00	Facility		$860.00	$1,182.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.95 / $1,112.93 / $1,320.55	Professional		$1,072.95	$1,112.93	$1,320.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.24 / $1,033.93 / $1,479.30	Professional		$853.24	$1,033.93	$1,479.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,032.15 / $1,404.27 / $1,619.92	Facility		$1,032.15	$1,404.27	$1,619.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.32 / $1,404.27 / $2,006.10	Professional		$1,101.32	$1,404.27	$2,006.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.91 / $1,232.10 / $1,232.10	Facility		$995.91	$1,232.10	$1,232.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.33 / $1,410.22 / $2,019.05	Professional		$1,042.33	$1,410.22	$2,019.05
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 $925.34 / $1,309.33 / $2,107.08	Professional		$925.34	$1,309.33	$2,107.08