Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,664.69 / $8,229.00	Facility		$860.00	$2,664.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,548.88 / $2,664.69 / $3,095.39	Professional		$2,548.88	$2,664.69	$3,095.39
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 $2,012.97 / $2,439.25 / $3,818.98	Professional		$2,012.97	$2,439.25	$3,818.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,603.14 / $3,572.93 / $4,121.63	Facility		$2,603.14	$3,572.93	$4,121.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,807.30 / $3,572.93 / $5,104.18	Professional		$2,807.30	$3,572.93	$5,104.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.27 / $3,154.49 / $3,154.49	Facility		$2,540.27	$3,154.49	$3,154.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,569.85 / $3,503.62 / $5,740.60	Professional		$2,569.85	$3,503.62	$5,740.60
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 $2,452.94 / $3,451.07 / $5,425.40	Professional		$2,452.94	$3,451.07	$5,425.40