Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,285.28 / $8,229.00	Facility		$860.00	$3,285.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,285.28 / $3,807.45 / $5,380.88	Professional		$3,285.28	$3,807.45	$5,380.88
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 $3,327.06 / $4,010.68 / $5,675.40	Professional		$3,327.06	$4,010.68	$5,675.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,497.64 / $5,075.91 / $5,855.42	Facility		$3,497.64	$5,075.91	$5,855.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,544.07 / $5,075.91 / $7,251.30	Professional		$3,544.07	$5,075.91	$7,251.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $5,298.45	Facility		$4,449.92	$4,449.92	$5,298.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,969.80 / $5,567.40 / $8,112.13	Professional		$3,969.80	$5,567.40	$8,112.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,713.35	Professional		$32.34	$32.34	$4,713.35
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 $3,661.93 / $5,231.33 / $8,014.36	Professional		$3,661.93	$5,231.33	$8,014.36