Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,794.18 / $8,229.00	Facility		$860.00	$2,794.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,678.92 / $2,794.18 / $3,263.72	Professional		$2,678.92	$2,794.18	$3,263.72
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 $2,308.73 / $2,837.44 / $4,119.13	Professional		$2,308.73	$2,837.44	$4,119.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,737.82 / $3,740.51 / $4,314.93	Facility		$2,737.82	$3,740.51	$4,314.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,034.45 / $3,740.51 / $5,343.58	Professional		$3,034.45	$3,740.51	$5,343.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,969.69 / $3,305.09 / $3,305.09	Facility		$2,969.69	$3,305.09	$3,305.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,819.62 / $3,683.39 / $6,132.51	Professional		$2,819.62	$3,683.39	$6,132.51
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 $2,559.60 / $3,650.18 / $5,709.27	Professional		$2,559.60	$3,650.18	$5,709.27