Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,169.06 / $8,229.00	Facility		$860.00	$2,169.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.06 / $1,832.80 / $2,187.15	Professional		$1,777.06	$1,832.80	$2,187.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,610.82 / $1,951.94 / $2,677.30	Professional		$1,610.82	$1,951.94	$2,677.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,696.66 / $2,328.66 / $2,686.28	Facility		$1,696.66	$2,328.66	$2,686.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,625.91 / $2,328.66 / $3,326.66	Professional		$1,625.91	$2,328.66	$3,326.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,826.37 / $2,042.54 / $2,042.54	Facility		$1,826.37	$2,042.54	$2,042.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.00 / $2,567.65 / $3,883.91	Professional		$1,749.00	$2,567.65	$3,883.91
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 $1,647.90 / $2,389.15 / $3,626.87	Professional		$1,647.90	$2,389.15	$3,626.87