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 $2,109.62 / $2,746.88 / $3,171.26	Professional		$2,109.62	$2,746.88	$3,171.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.37 / $2,468.82 / $3,654.00	Professional		$2,037.37	$2,468.82	$3,654.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,527.48 / $3,663.17 / $4,225.72	Facility		$2,527.48	$3,663.17	$4,225.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,875.21 / $3,567.28 / $5,233.10	Professional		$2,875.21	$3,567.28	$5,233.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,910.53 / $3,209.63 / $3,209.63	Facility		$2,910.53	$3,209.63	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,581.35 / $3,485.58 / $4,867.80	Professional		$2,581.35	$3,485.58	$4,867.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,401.52	Professional		$32.34	$32.34	$3,401.52
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 $2,466.58 / $3,458.41 / $5,403.59	Professional		$2,466.58	$3,458.41	$5,403.59