Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,203.75 / $8,229.00	Facility		$860.00	$2,203.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.30 / $1,958.75 / $2,229.04	Professional		$1,724.30	$1,958.75	$2,229.04
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 $1,710.60 / $2,072.85 / $2,898.54	Professional		$1,710.60	$2,072.85	$2,898.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,077.14 / $2,804.77 / $3,235.51	Facility		$2,077.14	$2,804.77	$3,235.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,138.05 / $2,804.77 / $4,006.82	Professional		$2,138.05	$2,804.77	$4,006.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.73 / $2,463.73 / $2,758.80	Facility		$2,463.73	$2,463.73	$2,758.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.26 / $2,844.28 / $4,294.49	Professional		$2,094.26	$2,844.28	$4,294.49
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 $1,984.72 / $2,709.87 / $4,115.18	Professional		$1,984.72	$2,709.87	$4,115.18