Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,625.18 / $8,229.00	Facility		$860.00	$1,625.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.38 / $1,536.87 / $1,721.45	Professional		$1,350.38	$1,536.87	$1,721.45
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 $1,084.70 / $1,314.40 / $2,196.48	Professional		$1,084.70	$1,314.40	$2,196.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,603.88 / $2,201.42 / $2,539.48	Facility		$1,603.88	$2,201.42	$2,539.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,808.31 / $2,201.42 / $3,144.88	Professional		$1,808.31	$2,201.42	$3,144.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.89 / $1,932.89 / $2,008.55	Facility		$1,932.89	$1,932.89	$2,008.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.39 / $1,933.71 / $2,801.34	Professional		$1,607.39	$1,933.71	$2,801.34
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 $1,397.39 / $1,916.21 / $3,160.86	Professional		$1,397.39	$1,916.21	$3,160.86