Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,346.13 / $8,229.00	Facility		$860.00	$3,346.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,300.84 / $3,346.13 / $3,884.47	Professional		$3,300.84	$3,346.13	$3,884.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,522.41 / $3,056.58 / $4,885.12	Professional		$2,522.41	$3,056.58	$4,885.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,318.25 / $4,527.59 / $5,222.89	Facility		$3,318.25	$4,527.59	$5,222.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,520.12 / $4,527.59 / $6,467.98	Professional		$3,520.12	$4,527.59	$6,467.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,075.23 / $3,679.61 / $3,679.61	Professional		$3,075.23	$3,679.61	$3,679.61
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 $2,859.97 / $3,960.51 / $6,970.53	Professional		$2,859.97	$3,960.51	$6,970.53