Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,641.62 / $8,229.00	Facility		$860.00	$1,641.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.59 / $1,459.01 / $1,657.57	Professional		$1,282.59	$1,459.01	$1,657.57
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 $1,269.23 / $1,538.02 / $2,155.71	Professional		$1,269.23	$1,538.02	$2,155.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,547.35 / $2,089.33 / $2,410.19	Facility		$1,547.35	$2,089.33	$2,410.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,597.11 / $2,089.33 / $2,984.76	Professional		$1,597.11	$2,089.33	$2,984.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.08 / $1,835.08 / $2,067.25	Facility		$1,835.08	$1,835.08	$2,067.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.01 / $2,131.96 / $3,186.22	Professional		$1,561.01	$2,131.96	$3,186.22
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 $1,558.14 / $2,158.46 / $3,055.81	Professional		$1,558.14	$2,158.46	$3,055.81