Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,528.00 / $8,229.00	Facility		$896.00	$2,528.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.41 / $2,016.03 / $2,738.66	Professional		$1,738.41	$2,016.03	$2,738.66
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 $1,413.19 / $1,712.46 / $2,677.07	Professional		$1,413.19	$1,712.46	$2,677.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.41 / $2,689.19 / $3,102.17	Facility		$1,855.41	$2,689.19	$3,102.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,920.85 / $2,618.10 / $3,841.70	Professional		$1,920.85	$2,618.10	$3,841.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,696.70	Facility		$2,355.71	$2,355.71	$2,696.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.75 / $2,740.92 / $4,149.82	Professional		$1,950.75	$2,740.92	$4,149.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,497.11	Professional		$32.34	$32.34	$2,497.11
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 $1,966.71 / $2,740.92 / $4,063.35	Professional		$1,966.71	$2,740.92	$4,063.35