Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,749.90 / $8,229.00	Facility		$860.00	$2,749.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,749.90 / $3,181.45 / $3,673.49	Professional		$2,749.90	$3,181.45	$3,673.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,575.10 / $3,070.93 / $4,491.49	Professional		$2,575.10	$3,070.93	$4,491.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,923.46 / $4,223.56 / $4,872.18	Facility		$2,923.46	$4,223.56	$4,872.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,016.83 / $4,223.56 / $6,033.66	Professional		$3,016.83	$4,223.56	$6,033.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,538.45 / $3,714.84 / $3,714.84	Facility		$3,538.45	$3,714.84	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,095.70 / $4,302.10 / $6,255.72	Professional		$3,095.70	$4,302.10	$6,255.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,921.88	Professional		$32.34	$32.34	$3,921.88
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 $2,870.96 / $4,130.12 / $6,214.36	Professional		$2,870.96	$4,130.12	$6,214.36