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 $2,362.07 / $2,714.73 / $3,539.52	Professional		$2,362.07	$2,714.73	$3,539.52
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 $2,321.94 / $2,805.68 / $4,152.10	Professional		$2,321.94	$2,805.68	$4,152.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,517.65 / $3,612.81 / $4,167.63	Facility		$2,517.65	$3,612.81	$4,167.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,824.92 / $3,612.81 / $5,161.16	Professional		$2,824.92	$3,612.81	$5,161.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,485.30	Facility		$3,184.07	$3,184.07	$3,485.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,653.39 / $4,037.86 / $5,519.81	Professional		$2,653.39	$4,037.86	$5,519.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,354.75	Professional		$32.34	$32.34	$3,354.75
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 $2,647.58 / $3,782.25 / $5,423.54	Professional		$2,647.58	$3,782.25	$5,423.54