Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,654.22 / $8,229.00	Facility		$860.00	$1,654.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.27 / $1,409.21 / $1,680.33	Professional		$1,365.27	$1,409.21	$1,680.33
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 $1,231.47 / $1,492.25 / $2,092.69	Professional		$1,231.47	$1,492.25	$2,092.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,304.83 / $1,790.26 / $2,065.21	Facility		$1,304.83	$1,790.26	$2,065.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,443.68 / $1,790.26 / $2,557.52	Professional		$1,443.68	$1,790.26	$2,557.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.86 / $1,570.81 / $1,570.81	Facility		$1,392.86	$1,570.81	$1,570.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.27 / $1,969.82 / $3,001.48	Professional		$1,342.27	$1,969.82	$3,001.48
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 $1,259.82 / $1,889.73 / $2,716.20	Professional		$1,259.82	$1,889.73	$2,716.20