Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,402.98 / $8,229.00	Facility		$860.00	$2,402.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,173.19 / $2,281.98 / $2,665.99	Professional		$2,173.19	$2,281.98	$2,665.99
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 $1,971.43 / $2,388.91 / $3,273.03	Professional		$1,971.43	$2,388.91	$3,273.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.85 / $3,058.36 / $3,528.03	Facility		$2,239.85	$3,058.36	$3,528.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,512.21 / $3,058.36 / $4,369.08	Professional		$2,512.21	$3,058.36	$4,369.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.21 / $2,698.49 / $2,698.49	Facility		$2,507.21	$2,698.49	$2,698.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,305.42 / $3,263.24 / $5,036.59	Professional		$2,305.42	$3,263.24	$5,036.59
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 $2,270.07 / $2,955.44 / $4,628.88	Professional		$2,270.07	$2,955.44	$4,628.88