Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,215.58 / $8,229.00	Facility		$860.00	$2,215.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,152.12 / $2,215.58 / $2,542.17	Professional		$2,152.12	$2,215.58	$2,542.17
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 $1,608.26 / $1,948.84 / $3,177.17	Professional		$1,608.26	$1,948.84	$3,177.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,200.80 / $2,999.88 / $3,460.57	Facility		$2,200.80	$2,999.88	$3,460.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,464.19 / $2,999.88 / $4,285.54	Professional		$2,464.19	$2,999.88	$4,285.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,098.44 / $2,641.07 / $2,641.07	Facility		$2,098.44	$2,641.07	$2,641.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.06 / $3,114.94 / $4,928.49	Professional		$2,183.06	$3,114.94	$4,928.49
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 $1,973.84 / $2,986.40 / $4,603.02	Professional		$1,973.84	$2,986.40	$4,603.02