Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,624.67 / $8,229.00	Facility		$860.00	$1,624.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.79 / $1,455.25 / $1,629.64	Professional		$1,279.79	$1,455.25	$1,629.64
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 $1,145.67 / $1,388.29 / $2,149.66	Professional		$1,145.67	$1,388.29	$2,149.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,543.42 / $2,083.96 / $2,403.98	Facility		$1,543.42	$2,083.96	$2,403.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,455.05 / $2,083.96 / $2,977.08	Professional		$1,455.05	$2,083.96	$2,977.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,830.31 / $1,830.31 / $2,007.93	Facility		$1,830.31	$1,830.31	$2,007.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.26 / $2,030.52 / $2,926.41	Professional		$1,525.26	$2,030.52	$2,926.41
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 $1,406.45 / $2,025.48 / $2,767.39	Professional		$1,406.45	$2,025.48	$2,767.39