Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,093.11 / $8,229.00	Facility		$860.00	$2,093.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,795.81 / $1,850.79 / $2,210.21	Professional		$1,795.81	$1,850.79	$2,210.21
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 $1,629.92 / $1,975.09 / $2,621.70	Professional		$1,629.92	$1,975.09	$2,621.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,709.88 / $2,346.89 / $2,707.31	Facility		$1,709.88	$2,346.89	$2,707.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,843.99 / $2,346.89 / $3,352.70	Professional		$1,843.99	$2,346.89	$3,352.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.41 / $2,059.34 / $2,059.34	Facility		$1,762.41	$2,059.34	$2,059.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.84 / $2,579.76 / $3,937.92	Professional		$1,769.84	$2,579.76	$3,937.92
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 $1,740.95 / $2,501.16 / $3,582.10	Professional		$1,740.95	$2,501.16	$3,582.10