Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,630.24 / $8,229.00	Facility		$860.00	$1,630.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.48 / $1,505.90 / $1,611.19	Professional		$1,362.48	$1,505.90	$1,611.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.96 / $1,604.33 / $2,269.05	Professional		$1,323.96	$1,604.33	$2,269.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,511.68 / $2,074.86 / $2,393.48	Facility		$1,511.68	$2,074.86	$2,393.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,482.04 / $2,074.86 / $2,964.08	Professional		$1,482.04	$2,074.86	$2,964.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,691.32 / $1,835.83 / $1,835.83	Facility		$1,691.32	$1,835.83	$1,835.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.00 / $2,053.59 / $3,556.87	Professional		$1,652.00	$2,053.59	$3,556.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $1,425.64 / $1,959.95 / $3,242.84	Professional		$1,425.64	$1,959.95	$3,242.84