Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,933.15 / $8,229.00	Facility		$787.00	$1,933.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.49 / $1,933.15 / $2,220.96	Professional		$1,894.49	$1,933.15	$2,220.96
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 $1,817.62 / $2,208.48 / $3,058.33	Professional		$1,817.62	$2,208.48	$3,058.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,922.93 / $2,620.44 / $3,022.88	Facility		$1,922.93	$2,620.44	$3,022.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,152.51 / $2,620.44 / $3,743.50	Professional		$2,152.51	$2,620.44	$3,743.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,306.71 / $2,306.71 / $2,306.71	Facility		$2,306.71	$2,306.71	$2,306.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.44 / $2,864.06 / $4,455.66	Professional		$1,950.44	$2,864.06	$4,455.66
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 $1,985.61 / $2,789.19 / $3,738.15	Professional		$1,985.61	$2,789.19	$3,738.15