Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,041.27 / $8,229.00	Facility		$860.00	$2,041.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.50 / $1,814.88 / $2,049.29	Professional		$1,596.50	$1,814.88	$2,049.29
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 $1,593.08 / $1,930.45 / $2,683.94	Professional		$1,593.08	$1,930.45	$2,683.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,892.82 / $2,597.98 / $2,996.97	Facility		$1,892.82	$2,597.98	$2,996.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,813.95 / $2,597.98 / $3,711.40	Professional		$1,813.95	$2,597.98	$3,711.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.73 / $2,282.73 / $2,532.71	Facility		$2,282.73	$2,282.73	$2,532.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.14 / $2,636.81 / $3,990.62	Professional		$1,957.14	$2,636.81	$3,990.62
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 $1,929.22 / $2,634.37 / $3,807.34	Professional		$1,929.22	$2,634.37	$3,807.34