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 $2,156.92 / $2,578.98 / $3,316.58	Professional		$2,156.92	$2,578.98	$3,316.58
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 $2,002.53 / $2,426.60 / $3,438.41	Professional		$2,002.53	$2,426.60	$3,438.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,382.66 / $3,440.85 / $3,969.27	Facility		$2,382.66	$3,440.85	$3,969.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,702.62 / $3,440.85 / $4,915.50	Professional		$2,702.62	$3,440.85	$4,915.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,121.30	Facility		$3,011.39	$3,011.39	$3,121.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.80 / $3,504.31 / $4,817.27	Professional		$2,454.80	$3,504.31	$4,817.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,195.08	Professional		$32.34	$32.34	$3,195.08
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 $2,399.16 / $3,435.06 / $5,021.16	Professional		$2,399.16	$3,435.06	$5,021.16