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 $2,005.14 / $2,692.76 / $3,183.93	Professional		$2,005.14	$2,692.76	$3,183.93
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 $1,898.39 / $2,431.09 / $3,783.55	Professional		$1,898.39	$2,431.09	$3,783.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,478.63 / $3,588.80 / $4,139.95	Facility		$2,478.63	$3,588.80	$4,139.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,819.77 / $3,588.80 / $5,126.85	Professional		$2,819.77	$3,588.80	$5,126.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,135.16 / $3,145.79 / $3,145.79	Facility		$3,135.16	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,565.77 / $3,444.77 / $5,323.73	Professional		$2,565.77	$3,444.77	$5,323.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,332.46	Professional		$32.34	$32.34	$3,332.46
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 $2,378.69 / $3,379.12 / $5,279.70	Professional		$2,378.69	$3,379.12	$5,279.70