Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,486.93 / $8,229.00	Facility		$860.00	$1,486.93	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.46 / $1,455.31 / $1,834.69	Professional		$1,222.46	$1,455.31	$1,834.69
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 $1,184.73 / $1,457.27 / $2,076.56	Professional		$1,184.73	$1,457.27	$2,076.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,306.27 / $1,892.45 / $2,183.08	Facility		$1,306.27	$1,892.45	$2,183.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,486.93 / $1,843.37 / $2,703.50	Professional		$1,486.93	$1,843.37	$2,703.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $2,164.17	Facility		$1,657.43	$1,657.43	$2,164.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.42 / $2,099.67 / $2,900.63	Professional		$1,509.42	$2,099.67	$2,900.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,757.28	Professional		$32.34	$32.34	$1,757.28
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 $1,413.16 / $1,897.82 / $2,672.58	Professional		$1,413.16	$1,897.82	$2,672.58