Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,288.36 / $2,654.79 / $3,297.97	Professional		$2,288.36	$2,654.79	$3,297.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $26,311.85 / $79,432.60	Facility		$8,584.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,030.75 / $2,434.07 / $3,729.95	Professional		$2,030.75	$2,434.07	$3,729.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,443.31 / $3,538.78 / $4,082.25	Facility		$2,443.31	$3,538.78	$4,082.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,527.69 / $3,538.78 / $5,055.39	Professional		$2,527.69	$3,538.78	$5,055.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,247.45	Facility		$3,101.70	$3,101.70	$3,247.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,584.75 / $3,463.50 / $5,229.55	Professional		$2,584.75	$3,463.50	$5,229.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,286.01	Professional		$32.34	$32.34	$3,286.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,363.48 / $3,463.50 / $5,640.29	Professional		$2,363.48	$3,463.50	$5,640.29