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 $2,202.23 / $2,553.14 / $3,179.12	Professional		$2,202.23	$2,553.14	$3,179.12
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 $2,199.69 / $2,633.71 / $3,894.00	Professional		$2,199.69	$2,633.71	$3,894.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,349.48 / $3,404.00 / $3,926.77	Facility		$2,349.48	$3,404.00	$3,926.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,376.71 / $3,404.00 / $4,862.85	Professional		$2,376.71	$3,404.00	$4,862.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $3,130.42	Facility		$2,983.13	$2,983.13	$3,130.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,618.56 / $3,592.07 / $5,322.03	Professional		$2,618.56	$3,592.07	$5,322.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,160.86	Professional		$32.34	$32.34	$3,160.86
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 $2,548.11 / $3,465.87 / $5,100.64	Professional		$2,548.11	$3,465.87	$5,100.64