Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,620.90 / $8,229.00	Facility		$860.00	$1,620.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.11 / $1,512.93 / $1,797.06	Professional		$1,460.11	$1,512.93	$1,797.06
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 $1,177.22 / $1,426.52 / $2,015.59	Professional		$1,177.22	$1,426.52	$2,015.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,403.75 / $1,910.15 / $2,203.48	Facility		$1,403.75	$1,910.15	$2,203.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,492.96 / $1,910.15 / $2,728.78	Professional		$1,492.96	$1,910.15	$2,728.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.81 / $1,675.87 / $1,675.87	Facility		$1,364.81	$1,675.87	$1,675.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.20 / $1,920.85 / $2,989.07	Professional		$1,442.20	$1,920.85	$2,989.07
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 $1,283.25 / $1,851.44 / $2,873.53	Professional		$1,283.25	$1,851.44	$2,873.53