Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,478.16 / $8,229.00	Facility		$860.00	$1,478.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.72 / $1,312.76 / $1,481.68	Professional		$1,154.72	$1,312.76	$1,481.68
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 $1,155.58 / $1,400.31 / $1,941.82	Professional		$1,155.58	$1,400.31	$1,941.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,370.65 / $1,881.29 / $2,170.19	Facility		$1,370.65	$1,881.29	$2,170.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,440.18 / $1,881.29 / $2,687.56	Professional		$1,440.18	$1,881.29	$2,687.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,651.18 / $1,651.18 / $1,831.20	Facility		$1,651.18	$1,651.18	$1,831.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.12 / $1,937.79 / $2,897.35	Professional		$1,405.12	$1,937.79	$2,897.35
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 $1,395.90 / $1,885.65 / $2,751.51	Professional		$1,395.90	$1,885.65	$2,751.51