Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,992.09 / $8,229.00	Facility		$860.00	$1,992.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,618.58 / $1,669.88 / $2,047.81	Professional		$1,618.58	$1,669.88	$2,047.81
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 $1,439.61 / $1,744.47 / $2,445.00	Professional		$1,439.61	$1,744.47	$2,445.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $2,120.87 / $2,446.57	Facility		$1,545.35	$2,120.87	$2,446.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,653.52 / $2,120.87 / $3,029.82	Professional		$1,653.52	$2,120.87	$3,029.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,724.28 / $1,860.66 / $1,860.66	Facility		$1,724.28	$1,860.66	$1,860.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.36 / $2,300.63 / $3,519.27	Professional		$1,592.36	$2,300.63	$3,519.27
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 $1,472.75 / $2,190.40 / $3,223.64	Professional		$1,472.75	$2,190.40	$3,223.64