Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,600.94 / $8,229.00	Facility		$860.00	$2,600.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,062.00 / $2,358.90 / $3,213.14	Professional		$2,062.00	$2,358.90	$3,213.14
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 $2,074.34 / $2,509.37 / $3,769.68	Professional		$2,074.34	$2,509.37	$3,769.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,188.30 / $3,146.05 / $3,629.19	Facility		$2,188.30	$3,146.05	$3,629.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,196.62 / $3,146.05 / $4,494.35	Professional		$2,196.62	$3,146.05	$4,494.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $3,163.91	Facility		$2,764.30	$2,764.30	$3,163.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,395.21 / $3,394.79 / $5,197.31	Professional		$2,395.21	$3,394.79	$5,197.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,921.33	Professional		$32.34	$32.34	$2,921.33
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,291.16 / $3,183.29 / $4,946.35	Professional		$2,291.16	$3,183.29	$4,946.35