Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,337.15 / $8,229.00	Facility		$860.00	$3,337.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,243.77 / $3,337.15 / $3,830.46	Professional		$3,243.77	$3,337.15	$3,830.46
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 $1,896.01 / $2,840.15 / $4,777.42	Professional		$1,896.01	$2,840.15	$4,777.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,294.68 / $4,522.10 / $5,216.58	Facility		$3,294.68	$4,522.10	$5,216.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,230.08 / $4,522.10 / $6,460.16	Professional		$3,230.08	$4,522.10	$6,460.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,192.40 / $3,980.40 / $3,980.40	Facility		$2,192.40	$3,980.40	$3,980.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,919.27 / $4,535.35 / $7,045.45	Professional		$2,919.27	$4,535.35	$7,045.45
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 $2,842.25 / $4,262.47 / $6,908.87	Professional		$2,842.25	$4,262.47	$6,908.87