Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,890.55 / $8,229.00	Facility		$860.00	$2,890.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,817.28 / $2,890.55 / $3,315.31	Professional		$2,817.28	$2,890.55	$3,315.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.31 / $2,462.19 / $4,182.76	Professional		$1,887.31	$2,462.19	$4,182.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,850.32 / $3,912.20 / $4,513.01	Facility		$2,850.32	$3,912.20	$4,513.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,731.56 / $3,912.20 / $5,588.86	Professional		$2,731.56	$3,912.20	$5,588.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.83 / $3,444.47 / $3,444.47	Facility		$2,280.83	$3,444.47	$3,444.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.50 / $3,875.28 / $6,311.04	Professional		$2,718.50	$3,875.28	$6,311.04
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 $2,486.11 / $3,705.88 / $5,823.68	Professional		$2,486.11	$3,705.88	$5,823.68