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 $2,375.15 / $2,754.71 / $3,382.92	Professional		$2,375.15	$2,754.71	$3,382.92
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 $2,299.19 / $2,795.31 / $4,025.15	Professional		$2,299.19	$2,795.31	$4,025.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,535.42 / $3,674.30 / $4,238.58	Facility		$2,535.42	$3,674.30	$4,238.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,565.44 / $3,577.90 / $5,249.00	Professional		$2,565.44	$3,577.90	$5,249.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,331.09	Facility		$3,218.75	$3,218.75	$3,331.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,777.79 / $3,773.43 / $5,646.03	Professional		$2,777.79	$3,773.43	$5,646.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,411.85	Professional		$32.34	$32.34	$3,411.85
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 $2,552.23 / $3,652.04 / $5,499.53	Professional		$2,552.23	$3,652.04	$5,499.53