Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,062.63 / $8,229.00	Facility		$860.00	$2,062.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.25 / $2,062.63 / $2,407.17	Professional		$1,959.25	$2,062.63	$2,407.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,573.09 / $1,906.22 / $2,953.30	Professional		$1,573.09	$1,906.22	$2,953.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,026.37 / $2,766.47 / $3,191.32	Facility		$2,026.37	$2,766.47	$3,191.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,931.59 / $2,766.47 / $3,952.10	Professional		$1,931.59	$2,766.47	$3,952.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,058.01 / $2,439.61 / $2,439.61	Facility		$2,058.01	$2,439.61	$2,439.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,033.01 / $2,731.88 / $4,472.89	Professional		$2,033.01	$2,731.88	$4,472.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,913.12 / $2,685.35 / $4,089.61	Professional		$1,913.12	$2,685.35	$4,089.61