Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,730.38 / $8,229.00	Facility		$860.00	$1,730.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.06 / $1,537.72 / $1,744.08	Professional		$1,352.06	$1,537.72	$1,744.08
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 $1,356.82 / $1,644.15 / $2,268.59	Professional		$1,356.82	$1,644.15	$2,268.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,631.04 / $2,202.30 / $2,540.51	Facility		$1,631.04	$2,202.30	$2,540.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,745.21 / $2,202.30 / $3,146.14	Professional		$1,745.21	$2,202.30	$3,146.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.03 / $1,934.03 / $2,176.69	Facility		$1,934.03	$1,934.03	$2,176.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.70 / $2,246.06 / $3,400.97	Professional		$1,652.70	$2,246.06	$3,400.97
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 $1,629.50 / $2,097.96 / $3,180.10	Professional		$1,629.50	$2,097.96	$3,180.10