Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,261.02 / $8,229.00	Facility		$860.00	$2,261.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,204.91 / $2,261.02 / $2,596.03	Professional		$2,204.91	$2,261.02	$2,596.03
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 $1,638.63 / $1,985.63 / $3,259.56	Professional		$1,638.63	$1,985.63	$3,259.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.92 / $3,064.85 / $3,535.52	Facility		$2,248.92	$3,064.85	$3,535.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,408.10 / $3,064.85 / $4,378.35	Professional		$2,408.10	$3,064.85	$4,378.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,232.55 / $2,696.98 / $2,696.98	Facility		$2,232.55	$2,696.98	$2,696.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.69 / $3,186.04 / $5,009.96	Professional		$2,213.69	$3,186.04	$5,009.96
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 $2,072.54 / $3,025.97 / $4,953.24	Professional		$2,072.54	$3,025.97	$4,953.24