Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,609.98 / $7,702.00	Facility		$991.00	$2,609.98	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.17 / $2,398.01 / $2,782.30	Professional		$2,069.17	$2,398.01	$2,782.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $26,311.85 / $79,432.60	Facility		$8,584.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,999.91 / $2,356.60 / $3,562.58	Professional		$1,999.91	$2,356.60	$3,562.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,205.05 / $3,197.98 / $3,689.10	Facility		$2,205.05	$3,197.98	$3,689.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,232.87 / $3,111.36 / $4,568.54	Professional		$2,232.87	$3,111.36	$4,568.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,739.68 / $2,802.44 / $2,802.44	Facility		$2,739.68	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.02 / $3,414.22 / $5,183.58	Professional		$2,543.02	$3,414.22	$5,183.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,422.64 / $2,512.69	Professional		$32.34	$1,422.64	$2,512.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,341.21 / $3,233.00 / $4,827.77	Professional		$2,341.21	$3,233.00	$4,827.77