Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,165.51 / $8,229.00	Facility		$860.00	$2,165.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.80 / $1,991.33 / $3,556.92	Professional		$1,716.80	$1,991.33	$3,556.92
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 $1,859.91 / $2,241.89 / $3,226.30	Professional		$1,859.91	$2,241.89	$3,226.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.06 / $2,654.89 / $3,062.61	Facility		$1,833.06	$2,654.89	$3,062.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,083.98 / $2,654.89 / $3,792.70	Professional		$2,083.98	$2,654.89	$3,792.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.54 / $2,326.54 / $3,502.43	Facility		$2,326.54	$2,326.54	$3,502.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,109.83 / $3,041.81 / $4,614.84	Professional		$2,109.83	$3,041.81	$4,614.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,465.26	Professional		$32.34	$32.34	$2,465.26
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 $2,132.77 / $2,882.03 / $4,253.83	Professional		$2,132.77	$2,882.03	$4,253.83