Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,670.51 / $8,229.00	Facility		$860.00	$1,670.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.90 / $1,505.21 / $1,685.83	Professional		$1,323.90	$1,505.21	$1,685.83
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 $1,274.83 / $1,544.79 / $2,223.03	Professional		$1,274.83	$1,544.79	$2,223.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,570.18 / $2,155.15 / $2,486.11	Facility		$1,570.18	$2,155.15	$2,486.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,770.30 / $2,155.15 / $3,078.78	Professional		$1,770.30	$2,155.15	$3,078.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,893.14 / $1,893.14 / $2,064.58	Facility		$1,893.14	$1,893.14	$2,064.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.62 / $2,165.55 / $3,272.22	Professional		$1,577.62	$2,165.55	$3,272.22
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 $1,534.72 / $2,153.92 / $3,115.49	Professional		$1,534.72	$2,153.92	$3,115.49