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 $2,158.16 / $2,659.31 / $3,415.41	Professional		$2,158.16	$2,659.31	$3,415.41
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 $2,080.07 / $2,520.25 / $3,694.56	Professional		$2,080.07	$2,520.25	$3,694.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,447.33 / $3,544.28 / $4,088.59	Facility		$2,447.33	$3,544.28	$4,088.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,782.13 / $3,544.28 / $5,063.26	Professional		$2,782.13	$3,544.28	$5,063.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,931.59 / $3,106.91 / $3,106.91	Facility		$2,931.59	$3,106.91	$3,106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.09 / $3,469.03 / $5,138.51	Professional		$2,589.09	$3,469.03	$5,138.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,291.12	Professional		$32.34	$32.34	$3,291.12
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 $2,408.67 / $3,529.75 / $5,194.53	Professional		$2,408.67	$3,529.75	$5,194.53