Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,791.71 / $8,229.00	Facility		$860.00	$1,791.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.10 / $1,716.06 / $2,829.56	Professional		$1,509.10	$1,716.06	$2,829.56
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 $1,362.95 / $1,651.58 / $2,499.46	Professional		$1,362.95	$1,651.58	$2,499.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.96 / $2,456.12 / $2,833.30	Facility		$1,818.96	$2,456.12	$2,833.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,878.11 / $2,456.12 / $3,508.74	Professional		$1,878.11	$2,456.12	$3,508.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.33 / $2,158.33 / $2,214.37	Facility		$2,158.33	$2,158.33	$2,214.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.61 / $2,453.48 / $3,476.94	Professional		$1,798.61	$2,453.48	$3,476.94
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 $1,673.20 / $2,212.54 / $3,557.99	Professional		$1,673.20	$2,212.54	$3,557.99