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 $1,946.07 / $2,360.16 / $2,808.64	Professional		$1,946.07	$2,360.16	$2,808.64
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 $1,510.05 / $2,013.40 / $3,224.22	Professional		$1,510.05	$2,013.40	$3,224.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.53 / $3,248.95 / $3,747.90	Facility		$2,239.53	$3,248.95	$3,747.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,268.46 / $3,248.95 / $4,641.35	Professional		$2,268.46	$3,248.95	$4,641.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,916.26 / $2,847.41 / $2,847.41	Facility		$1,916.26	$2,847.41	$2,847.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.31 / $2,762.86 / $4,823.64	Professional		$1,838.31	$2,762.86	$4,823.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,016.88	Professional		$32.34	$32.34	$3,016.88
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 $1,694.25 / $3,042.18 / $4,809.09	Professional		$1,694.25	$3,042.18	$4,809.09