Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,553.53 / $8,229.00	Facility		$860.00	$1,553.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.01 / $1,402.15 / $1,570.27	Professional		$1,233.01	$1,402.15	$1,570.27
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 $1,217.93 / $1,475.86 / $2,070.56	Professional		$1,217.93	$1,475.86	$2,070.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.74 / $2,007.49 / $2,315.78	Facility		$1,486.74	$2,007.49	$2,315.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,537.10 / $2,007.49 / $2,867.84	Professional		$1,537.10	$2,007.49	$2,867.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.56 / $1,763.56 / $1,920.00	Facility		$1,763.56	$1,763.56	$1,920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.86 / $2,054.02 / $3,052.52	Professional		$1,500.86	$2,054.02	$3,052.52
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 $1,486.19 / $2,018.73 / $2,901.11	Professional		$1,486.19	$2,018.73	$2,901.11