Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,760.22 / $8,229.00	Facility		$860.00	$1,760.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.66 / $1,619.76 / $1,728.74	Professional		$1,467.66	$1,619.76	$1,728.74
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 $1,534.55 / $1,859.52 / $2,504.06	Professional		$1,534.55	$1,859.52	$2,504.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,632.20 / $2,240.28 / $2,584.32	Facility		$1,632.20	$2,240.28	$2,584.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,811.45 / $2,240.28 / $3,600.45	Professional		$1,811.45	$2,240.28	$3,600.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.22 / $1,977.22 / $1,990.95	Facility		$1,977.22	$1,977.22	$1,990.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.30 / $2,256.02 / $3,859.35	Professional		$1,797.30	$2,256.02	$3,859.35
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 $1,569.88 / $2,354.82 / $3,517.46	Professional		$1,569.88	$2,354.82	$3,517.46