Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,603.84 / $8,229.00	Facility		$860.00	$1,603.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.36 / $1,425.49 / $1,621.91	Professional		$1,254.36	$1,425.49	$1,621.91
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 $1,242.76 / $1,505.94 / $2,109.19	Professional		$1,242.76	$1,505.94	$2,109.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,511.69 / $2,041.26 / $2,354.73	Facility		$1,511.69	$2,041.26	$2,354.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,458.04 / $2,041.26 / $2,916.08	Professional		$1,458.04	$2,041.26	$2,916.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,793.00 / $1,793.00 / $2,017.57	Facility		$1,793.00	$1,793.00	$2,017.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.02 / $2,087.76 / $3,118.17	Professional		$1,527.02	$2,087.76	$3,118.17
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 $1,499.83 / $2,054.65 / $2,990.30	Professional		$1,499.83	$2,054.65	$2,990.30