Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,745.39 / $8,229.00	Facility		$860.00	$2,745.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.53 / $2,502.32 / $3,097.85	Professional		$2,176.53	$2,502.32	$3,097.85
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 $2,295.48 / $2,703.53 / $3,790.64	Professional		$2,295.48	$2,703.53	$3,790.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,321.26 / $3,329.98 / $3,841.38	Facility		$2,321.26	$3,329.98	$3,841.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,378.56 / $3,302.19 / $4,757.12	Professional		$2,378.56	$3,302.19	$4,757.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $3,050.39	Facility		$2,934.56	$2,934.56	$3,050.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,474.44 / $3,757.17 / $5,245.46	Professional		$2,474.44	$3,757.17	$5,245.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,092.13	Professional		$32.34	$32.34	$3,092.13
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 $2,528.14 / $3,604.03 / $5,240.60	Professional		$2,528.14	$3,604.03	$5,240.60