Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,061.44 / $8,229.00	Facility		$860.00	$2,061.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.30 / $1,880.37 / $2,450.76	Professional		$1,634.30	$1,880.37	$2,450.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.66 / $2,047.28 / $2,918.00	Professional		$1,685.66	$2,047.28	$2,918.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,745.21 / $2,499.42 / $2,883.27	Facility		$1,745.21	$2,499.42	$2,883.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,745.13 / $2,486.34 / $3,570.60	Professional		$1,745.13	$2,486.34	$3,570.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.04 / $2,204.04 / $2,413.21	Facility		$2,204.04	$2,204.04	$2,413.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.72 / $2,825.17 / $4,059.05	Professional		$2,018.72	$2,825.17	$4,059.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,320.89	Professional		$32.34	$32.34	$2,320.89
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 $1,871.72 / $2,618.69 / $3,983.49	Professional		$1,871.72	$2,618.69	$3,983.49