Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,617.52 / $8,229.00	Facility		$860.00	$1,617.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.80 / $1,463.58 / $1,733.55	Professional		$1,277.80	$1,463.58	$1,733.55
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 $1,155.58 / $1,447.73 / $2,077.48	Professional		$1,155.58	$1,447.73	$2,077.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,389.45 / $2,082.64 / $2,402.46	Facility		$1,389.45	$2,082.64	$2,402.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,636.36 / $2,082.64 / $2,975.20	Professional		$1,636.36	$2,082.64	$2,975.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.45 / $1,828.45 / $1,999.09	Facility		$1,828.45	$1,828.45	$1,999.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.94 / $2,098.23 / $3,050.64	Professional		$1,571.94	$2,098.23	$3,050.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,933.88	Professional		$32.34	$32.34	$1,933.88
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 $1,436.97 / $1,967.00 / $2,792.07	Professional		$1,436.97	$1,967.00	$2,792.07