Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,839.55 / $8,229.00	Facility		$860.00	$2,839.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,503.04 / $3,286.64 / $3,797.04	Professional		$2,503.04	$3,286.64	$3,797.04
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 $2,365.66 / $2,866.63 / $4,611.30	Professional		$2,365.66	$2,866.63	$4,611.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,021.28 / $4,363.31 / $5,033.39	Facility		$3,021.28	$4,363.31	$5,033.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,046.53 / $4,288.42 / $6,233.30	Professional		$3,046.53	$4,288.42	$6,233.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,583.91 / $3,837.41 / $3,837.41	Facility		$3,583.91	$3,837.41	$3,837.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,197.84 / $4,384.29 / $6,127.31	Professional		$3,197.84	$4,384.29	$6,127.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,051.65	Professional		$32.34	$32.34	$4,051.65
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 $2,836.06 / $4,076.84 / $6,355.26	Professional		$2,836.06	$4,076.84	$6,355.26