Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,424.12 / $8,229.00	Facility		$860.00	$2,424.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,921.83 / $2,216.54 / $2,659.76	Professional		$1,921.83	$2,216.54	$2,659.76
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 $1,823.65 / $2,271.63 / $3,325.30	Professional		$1,823.65	$2,271.63	$3,325.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,053.36 / $2,960.55 / $3,415.21	Facility		$2,053.36	$2,960.55	$3,415.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,321.65 / $2,960.55 / $4,229.35	Professional		$2,321.65	$2,960.55	$4,229.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,619.02	Facility		$2,592.29	$2,592.29	$2,619.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,314.42 / $3,204.99 / $4,501.89	Professional		$2,314.42	$3,204.99	$4,501.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,294.34 / $2,326.15	Professional		$32.34	$1,294.34	$2,326.15
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 $2,086.69 / $2,886.49 / $4,462.89	Professional		$2,086.69	$2,886.49	$4,462.89