Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,055.15 / $8,229.00	Facility		$860.00	$2,055.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.47 / $1,826.98 / $2,055.27	Professional		$1,607.47	$1,826.98	$2,055.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,588.85 / $1,925.32 / $2,704.94	Professional		$1,588.85	$1,925.32	$2,704.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.68 / $2,615.65 / $3,017.33	Facility		$1,905.68	$2,615.65	$3,017.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,072.66 / $2,615.65 / $3,736.64	Professional		$2,072.66	$2,615.65	$3,736.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,297.96 / $2,297.96 / $2,540.10	Facility		$2,297.96	$2,297.96	$2,540.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,953.89 / $2,655.74 / $3,989.73	Professional		$1,953.89	$2,655.74	$3,989.73
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 $1,877.83 / $2,655.94 / $3,809.88	Professional		$1,877.83	$2,655.94	$3,809.88