Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,629.40 / $8,229.00	Facility		$860.00	$1,629.40	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.74 / $1,531.86 / $1,819.90	Professional		$1,335.74	$1,531.86	$1,819.90
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 $1,201.78 / $1,470.18 / $2,147.56	Professional		$1,201.78	$1,470.18	$2,147.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.05 / $2,177.38 / $2,511.76	Facility		$1,457.05	$2,177.38	$2,511.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,674.31 / $2,099.61 / $3,110.54	Professional		$1,674.31	$2,099.61	$3,110.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $2,013.78	Facility		$1,911.67	$1,911.67	$2,013.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.85 / $2,130.61 / $3,014.27	Professional		$1,644.85	$2,130.61	$3,014.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,021.85	Professional		$32.34	$32.34	$2,021.85
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 $1,499.88 / $2,008.95 / $2,844.56	Professional		$1,499.88	$2,008.95	$2,844.56