Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,770.86 / $8,229.00	Facility		$860.00	$1,770.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.72 / $1,584.54 / $1,873.35	Professional		$1,383.72	$1,584.54	$1,873.35
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 $1,279.82 / $1,615.85 / $2,252.26	Professional		$1,279.82	$1,615.85	$2,252.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,502.08 / $2,253.82 / $2,599.94	Facility		$1,502.08	$2,253.82	$2,599.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,609.87 / $2,253.82 / $3,219.74	Professional		$1,609.87	$2,253.82	$3,219.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $2,234.44	Facility		$1,980.56	$1,980.56	$2,234.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.35 / $2,303.48 / $3,262.55	Professional		$1,701.35	$2,303.48	$3,262.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,092.83	Professional		$32.34	$32.34	$2,092.83
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 $1,598.77 / $2,151.35 / $2,971.19	Professional		$1,598.77	$2,151.35	$2,971.19