Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,416.71 / $8,229.00	Facility		$860.00	$1,416.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.83 / $1,308.97 / $1,354.36	Professional		$1,291.83	$1,308.97	$1,354.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.48 / $1,392.90 / $2,021.44	Professional		$1,149.48	$1,392.90	$2,021.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.01 / $1,803.09 / $2,079.98	Facility		$1,318.01	$1,803.09	$2,079.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,454.44 / $1,803.09 / $2,575.84	Professional		$1,454.44	$1,803.09	$2,575.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,468.12 / $1,594.69 / $1,594.69	Facility		$1,468.12	$1,594.69	$1,594.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.69 / $1,838.76 / $2,907.46	Professional		$1,388.69	$1,838.76	$2,907.46
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 $1,201.77 / $1,646.32 / $2,588.25	Professional		$1,201.77	$1,646.32	$2,588.25