Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,181.92 / $8,229.00	Facility		$860.00	$3,181.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,927.72 / $3,680.87 / $4,247.27	Professional		$2,927.72	$3,680.87	$4,247.27
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 $2,894.70 / $3,492.92 / $5,197.51	Professional		$2,894.70	$3,492.92	$5,197.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,381.40 / $4,889.08 / $5,639.90	Facility		$3,381.40	$4,889.08	$5,639.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,839.13 / $4,889.08 / $6,984.40	Professional		$3,839.13	$4,889.08	$6,984.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,097.05 / $4,298.76 / $4,298.76	Facility		$4,097.05	$4,298.76	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,582.30 / $4,964.68 / $6,832.02	Professional		$3,582.30	$4,964.68	$6,832.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,539.85	Professional		$32.34	$32.34	$4,539.85
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 $3,480.88 / $4,981.18 / $7,145.95	Professional		$3,480.88	$4,981.18	$7,145.95