Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,946.53 / $8,229.00	Facility		$860.00	$1,946.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.13 / $1,730.60 / $1,969.88	Professional		$1,522.13	$1,730.60	$1,969.88
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 $1,497.38 / $1,814.48 / $2,561.44	Professional		$1,497.38	$1,814.48	$2,561.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,834.68 / $2,477.40 / $2,857.85	Facility		$1,834.68	$2,477.40	$2,857.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,963.11 / $2,477.40 / $3,539.14	Professional		$1,963.11	$2,477.40	$3,539.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,176.71 / $2,176.71 / $2,455.09	Facility		$2,176.71	$2,176.71	$2,455.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.21 / $2,495.16 / $3,788.68	Professional		$1,850.21	$2,495.16	$3,788.68
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 $1,841.96 / $2,304.60 / $3,609.74	Professional		$1,841.96	$2,304.60	$3,609.74