Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,725.11 / $9,311.00	Facility		$787.00	$2,725.11	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.79 / $2,555.44 / $2,827.01	Professional		$2,248.79	$2,555.44	$2,827.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.41 / $2,553.26 / $3,505.70	Professional		$2,157.41	$2,553.26	$3,505.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,526.91 / $3,076.89 / $3,592.19	Facility		$2,526.91	$3,076.89	$3,592.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,421.63 / $3,468.32 / $4,954.74	Professional		$2,421.63	$3,468.32	$4,954.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,109.00 / $2,200.51 / $3,036.35	Facility		$2,109.00	$2,200.51	$3,036.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,286.35 / $2,938.20 / $4,711.33	Professional		$2,286.35	$2,938.20	$4,711.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,220.58	Professional		$32.34	$32.34	$3,220.58
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,724.00 / $4,039.00	Facility		$590.00	$1,724.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,221.30 / $2,887.69 / $4,493.16	Professional		$2,221.30	$2,887.69	$4,493.16