Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,455.17 / $8,229.00	Facility		$860.00	$1,455.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.19 / $1,292.50 / $1,448.40	Professional		$1,148.19	$1,292.50	$1,448.40
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 $1,213.99 / $1,471.08 / $2,004.40	Professional		$1,213.99	$1,471.08	$2,004.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.68 / $1,852.03 / $2,136.46	Facility		$1,362.68	$1,852.03	$2,136.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,293.11 / $1,852.03 / $2,645.76	Professional		$1,293.11	$1,852.03	$2,645.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,635.76 / $1,635.76 / $2,031.31	Facility		$1,635.76	$1,635.76	$2,031.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.83 / $2,001.05 / $3,058.66	Professional		$1,476.83	$2,001.05	$3,058.66
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 $1,404.19 / $1,889.91 / $2,718.01	Professional		$1,404.19	$1,889.91	$2,718.01