Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,952.63 / $8,229.00	Facility		$860.00	$1,952.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.19 / $1,747.09 / $2,065.85	Professional		$1,526.19	$1,747.09	$2,065.85
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 $1,438.82 / $1,784.29 / $2,479.76	Professional		$1,438.82	$1,784.29	$2,479.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,656.37 / $2,485.17 / $2,866.82	Facility		$1,656.37	$2,485.17	$2,866.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,900.58 / $2,485.17 / $3,550.24	Professional		$1,900.58	$2,485.17	$3,550.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,182.87 / $2,182.87 / $2,430.56	Facility		$2,182.87	$2,182.87	$2,430.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.37 / $2,549.84 / $3,605.35	Professional		$1,875.37	$2,549.84	$3,605.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,307.66	Professional		$32.34	$32.34	$2,307.66
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 $1,861.87 / $2,359.88 / $3,391.97	Professional		$1,861.87	$2,359.88	$3,391.97