Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,038.67 / $8,229.00	Facility		$860.00	$2,038.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.69 / $1,837.52 / $2,057.73	Professional		$1,616.69	$1,837.52	$2,057.73
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 $1,520.82 / $1,842.88 / $2,766.08	Professional		$1,520.82	$1,842.88	$2,766.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,948.16 / $2,630.70 / $3,034.70	Facility		$1,948.16	$2,630.70	$3,034.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,160.92 / $2,630.70 / $3,758.14	Professional		$2,160.92	$2,630.70	$3,758.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.25 / $2,311.25 / $2,519.59	Facility		$2,311.25	$2,311.25	$2,519.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,964.04 / $2,583.17 / $3,843.31	Professional		$1,964.04	$2,583.17	$3,843.31
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 $1,867.00 / $2,554.28 / $3,848.34	Professional		$1,867.00	$2,554.28	$3,848.34