Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,195.21 / $8,229.00	Facility		$860.00	$2,195.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.25 / $1,882.13 / $2,172.52	Professional		$1,813.25	$1,882.13	$2,172.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $28,168.29	Facility		$6,153.00	$10,099.00	$28,168.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,823.50 / $2,214.50 / $2,991.04	Professional		$1,823.50	$2,214.50	$2,991.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,047.48 / $2,793.91 / $3,222.97	Facility		$2,047.48	$2,793.91	$3,222.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,295.00 / $2,793.91 / $3,991.30	Professional		$2,295.00	$2,793.91	$3,991.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.88 / $2,445.98 / $2,445.98	Facility		$2,289.88	$2,445.98	$2,445.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,131.88 / $3,007.48 / $4,660.77	Professional		$2,131.88	$3,007.48	$4,660.77
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,877.02 / $2,810.20 / $4,251.85	Professional		$1,877.02	$2,810.20	$4,251.85