Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,777.77 / $8,229.00	Facility		$860.00	$1,777.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.44 / $1,492.20 / $1,778.24	Professional		$1,444.44	$1,492.20	$1,778.24
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 $1,311.88 / $1,589.69 / $2,185.30	Professional		$1,311.88	$1,589.69	$2,185.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.37 / $1,891.29 / $2,181.73	Facility		$1,378.37	$1,891.29	$2,181.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,320.52 / $1,891.29 / $2,701.84	Professional		$1,320.52	$1,891.29	$2,701.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.30 / $1,659.92 / $1,659.92	Facility		$1,497.30	$1,659.92	$1,659.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.74 / $2,077.11 / $3,165.65	Professional		$1,419.74	$2,077.11	$3,165.65
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 $1,419.73 / $2,002.50 / $2,873.06	Professional		$1,419.73	$2,002.50	$2,873.06