Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,396.55 / $8,229.00	Facility		$860.00	$1,396.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.15 / $1,240.22 / $1,400.44	Professional		$1,090.15	$1,240.22	$1,400.44
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 $1,054.82 / $1,278.20 / $1,830.84	Professional		$1,054.82	$1,278.20	$1,830.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.98 / $1,777.43 / $2,050.39	Facility		$1,294.98	$1,777.43	$2,050.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,460.03 / $1,777.43 / $2,539.17	Professional		$1,460.03	$1,777.43	$2,539.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,559.88 / $1,559.88 / $1,730.79	Facility		$1,559.88	$1,559.88	$1,730.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.91 / $1,780.35 / $2,649.07	Professional		$1,327.91	$1,780.35	$2,649.07
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 $1,269.55 / $1,691.96 / $2,591.54	Professional		$1,269.55	$1,691.96	$2,591.54