Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,031.38 / $8,229.00	Facility		$860.00	$2,031.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.11 / $1,806.61 / $2,056.15	Professional		$1,589.11	$1,806.61	$2,056.15
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 $1,526.87 / $1,850.21 / $2,673.71	Professional		$1,526.87	$1,850.21	$2,673.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,914.63 / $2,585.39 / $2,982.43	Facility		$1,914.63	$2,585.39	$2,982.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,971.92 / $2,585.39 / $3,693.42	Professional		$1,971.92	$2,585.39	$3,693.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.34 / $2,272.34 / $2,559.56	Facility		$2,272.34	$2,272.34	$2,559.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.81 / $2,626.64 / $3,842.07	Professional		$1,931.81	$2,626.64	$3,842.07
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 $1,874.42 / $2,473.66 / $3,790.79	Professional		$1,874.42	$2,473.66	$3,790.79