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 $2,505.23 / $3,160.27 / $3,648.79	Professional		$2,505.23	$3,160.27	$3,648.79
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 $2,160.36 / $2,866.78 / $4,279.10	Professional		$2,160.36	$2,866.78	$4,279.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,903.86 / $4,195.53 / $4,839.85	Facility		$2,903.86	$4,195.53	$4,839.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,296.49 / $4,195.53 / $5,993.62	Professional		$3,296.49	$4,195.53	$5,993.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,333.57 / $3,690.11 / $3,690.11	Facility		$3,333.57	$3,690.11	$3,690.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,072.71 / $4,137.92 / $5,603.87	Professional		$3,072.71	$4,137.92	$5,603.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,895.85	Professional		$32.34	$32.34	$3,895.85
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 $2,730.10 / $3,924.52 / $5,954.17	Professional		$2,730.10	$3,924.52	$5,954.17