Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,860.84 / $8,229.00	Facility		$860.00	$1,860.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,595.24 / $1,753.01 / $1,907.10	Professional		$1,595.24	$1,753.01	$1,907.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.72 / $1,761.57 / $2,562.75	Professional		$1,453.72	$1,761.57	$2,562.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,744.54 / $2,368.34 / $2,732.05	Facility		$1,744.54	$2,368.34	$2,732.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,827.70 / $2,368.34 / $3,383.34	Professional		$1,827.70	$2,368.34	$3,383.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,827.99 / $2,095.19 / $2,095.19	Facility		$1,827.99	$2,095.19	$2,095.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.31 / $2,289.35 / $3,674.89	Professional		$1,788.31	$2,289.35	$3,674.89
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 $1,561.54 / $2,408.40 / $3,582.78	Professional		$1,561.54	$2,408.40	$3,582.78