Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,960.43 / $8,229.00	Facility		$860.00	$1,960.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.12 / $1,790.31 / $2,005.66	Professional		$1,576.12	$1,790.31	$2,005.66
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 $1,455.28 / $1,766.34 / $2,602.46	Professional		$1,455.28	$1,766.34	$2,602.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,866.44 / $2,561.79 / $2,955.20	Facility		$1,866.44	$2,561.79	$2,955.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,104.33 / $2,561.79 / $3,659.70	Professional		$2,104.33	$2,561.79	$3,659.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,251.87 / $2,251.87 / $2,422.88	Facility		$2,251.87	$2,251.87	$2,422.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,876.56 / $2,469.56 / $3,620.34	Professional		$1,876.56	$2,469.56	$3,620.34
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 $1,700.51 / $2,371.14 / $3,988.62	Professional		$1,700.51	$2,371.14	$3,988.62