Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,161.90 / $8,229.00	Facility		$860.00	$2,161.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.94 / $1,987.69 / $3,553.83	Professional		$1,713.94	$1,987.69	$3,553.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,827.80 / $2,214.87 / $3,311.26	Professional		$1,827.80	$2,214.87	$3,311.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,829.29 / $2,649.74 / $3,056.66	Facility		$1,829.29	$2,649.74	$3,056.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,892.67 / $2,582.89 / $3,785.34	Professional		$1,892.67	$2,582.89	$3,785.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $3,499.38	Facility		$2,322.34	$2,322.34	$3,499.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.44 / $3,123.98 / $4,490.89	Professional		$2,071.44	$3,123.98	$4,490.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,460.46	Professional		$32.34	$32.34	$2,460.46
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,012.91 / $2,868.40 / $4,190.49	Professional		$2,012.91	$2,868.40	$4,190.49