Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,905.66 / $8,229.00	Facility		$860.00	$1,905.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.65 / $1,722.35 / $1,928.69	Professional		$1,514.65	$1,722.35	$1,928.69
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 $1,511.04 / $1,831.03 / $2,629.10	Professional		$1,511.04	$1,831.03	$2,629.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,796.33 / $2,465.55 / $2,844.19	Facility		$1,796.33	$2,465.55	$2,844.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,761.11 / $2,465.55 / $3,522.22	Professional		$1,761.11	$2,465.55	$3,522.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.29 / $2,166.29 / $2,318.13	Facility		$2,166.29	$2,166.29	$2,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,846.31 / $2,504.61 / $3,793.69	Professional		$1,846.31	$2,504.61	$3,793.69
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 $1,756.73 / $2,484.52 / $3,582.08	Professional		$1,756.73	$2,484.52	$3,582.08