Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,060.96 / $8,229.00	Facility		$860.00	$2,060.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.14 / $1,908.20 / $2,167.87	Professional		$1,678.14	$1,908.20	$2,167.87
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 $1,603.44 / $1,942.99 / $3,169.81	Professional		$1,603.44	$1,942.99	$3,169.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,023.75 / $2,732.58 / $3,152.21	Facility		$2,023.75	$2,732.58	$3,152.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,244.62 / $2,732.58 / $3,903.68	Professional		$2,244.62	$2,732.58	$3,903.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.06 / $2,400.06 / $2,507.06	Facility		$2,400.06	$2,400.06	$2,507.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.72 / $2,671.02 / $4,036.82	Professional		$2,026.72	$2,671.02	$4,036.82
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 $1,875.01 / $2,584.51 / $3,996.21	Professional		$1,875.01	$2,584.51	$3,996.21