Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,789.11 / $8,229.00	Facility		$860.00	$1,789.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.87 / $1,745.33 / $2,078.05	Professional		$1,670.87	$1,745.33	$2,078.05
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 $1,582.26 / $1,917.33 / $2,636.50	Professional		$1,582.26	$1,917.33	$2,636.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.09 / $2,277.04 / $2,626.73	Facility		$1,659.09	$2,277.04	$2,626.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,789.11 / $2,277.04 / $3,252.92	Professional		$1,789.11	$2,277.04	$3,252.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.74 / $1,997.03 / $1,997.03	Facility		$1,749.74	$1,997.03	$1,997.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.80 / $2,509.71 / $3,813.31	Professional		$1,710.80	$2,509.71	$3,813.31
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 $1,709.04 / $2,428.04 / $3,339.39	Professional		$1,709.04	$2,428.04	$3,339.39