Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,314.73 / $7,702.00	Facility		$991.00	$2,314.73	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.00 / $2,198.37 / $2,448.73	Professional		$1,728.00	$2,198.37	$2,448.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $18,409.41 / $55,575.98	Facility		$8,584.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,454.49 / $1,939.33 / $2,721.47	Professional		$1,454.49	$1,939.33	$2,721.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,963.40 / $2,840.81 / $3,398.45	Facility		$1,963.40	$2,840.81	$3,398.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,104.30 / $2,946.02 / $3,472.10	Professional		$2,104.30	$2,946.02	$3,472.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.71 / $2,796.00 / $4,053.71	Professional		$1,902.71	$2,796.00	$4,053.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,735.59	Professional		$32.34	$32.34	$2,735.59
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,878.37 / $2,638.31 / $4,117.53	Professional		$1,878.37	$2,638.31	$4,117.53