Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,967.81 / $8,229.00	Facility		$860.00	$1,967.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.96 / $1,749.91 / $1,984.73	Professional		$1,538.96	$1,749.91	$1,984.73
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 $1,519.64 / $1,841.45 / $2,588.71	Professional		$1,519.64	$1,841.45	$2,588.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,854.75 / $2,504.48 / $2,889.10	Facility		$1,854.75	$2,504.48	$2,889.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,748.67 / $2,504.48 / $3,577.84	Professional		$1,748.67	$2,504.48	$3,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.98 / $2,200.98 / $2,452.91	Facility		$2,200.98	$2,200.98	$2,452.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.76 / $2,543.94 / $3,815.63	Professional		$1,870.76	$2,543.94	$3,815.63
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 $1,661.87 / $2,395.52 / $3,649.41	Professional		$1,661.87	$2,395.52	$3,649.41