Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,039.11 / $8,229.00	Facility		$860.00	$2,039.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,684.25 / $1,748.47 / $2,017.48	Professional		$1,684.25	$1,748.47	$2,017.48
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 $1,678.03 / $2,057.50 / $2,791.85	Professional		$1,678.03	$2,057.50	$2,791.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,902.02 / $2,595.23 / $2,993.79	Facility		$1,902.02	$2,595.23	$2,993.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,080.21 / $2,595.23 / $4,170.92	Professional		$2,080.21	$2,595.23	$4,170.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,136.89 / $2,272.13 / $2,272.13	Facility		$2,136.89	$2,272.13	$2,272.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,962.58 / $2,769.36 / $4,292.89	Professional		$1,962.58	$2,769.36	$4,292.89
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 $1,703.72 / $2,480.89 / $3,947.19	Professional		$1,703.72	$2,480.89	$3,947.19