Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,809.56 / $8,229.00	Facility		$860.00	$1,809.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.37 / $1,868.81 / $2,174.69	Professional		$1,650.37	$1,868.81	$2,174.69
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 $1,451.12 / $1,758.42 / $2,670.47	Professional		$1,451.12	$1,758.42	$2,670.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,939.94 / $2,662.67 / $3,071.58	Facility		$1,939.94	$2,662.67	$3,071.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,187.19 / $2,662.67 / $3,803.82	Professional		$2,187.19	$2,662.67	$3,803.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,236.42 / $2,356.59 / $2,356.59	Facility		$2,236.42	$2,356.59	$2,356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.16 / $2,336.40 / $3,609.79	Professional		$1,898.16	$2,336.40	$3,609.79
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 $1,786.62 / $2,368.87 / $3,983.64	Professional		$1,786.62	$2,368.87	$3,983.64