Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,768.89 / $8,229.00	Facility		$860.00	$1,768.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.64 / $1,620.25 / $1,925.71	Professional		$1,564.64	$1,620.25	$1,925.71
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 $1,199.44 / $1,453.44 / $2,159.85	Professional		$1,199.44	$1,453.44	$2,159.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,503.41 / $2,045.93 / $2,360.12	Facility		$1,503.41	$2,045.93	$2,360.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,598.09 / $2,045.93 / $2,922.76	Professional		$1,598.09	$2,045.93	$2,922.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,489.43 / $1,794.96 / $1,794.96	Facility		$1,489.43	$1,794.96	$1,794.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.80 / $2,032.64 / $3,040.19	Professional		$1,495.80	$2,032.64	$3,040.19
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 $1,352.46 / $1,840.58 / $3,082.11	Professional		$1,352.46	$1,840.58	$3,082.11