Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,854.87 / $8,229.00	Facility		$860.00	$1,854.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,854.87 / $2,121.32 / $2,769.65	Professional		$1,854.87	$2,121.32	$2,769.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.54 / $1,997.11 / $2,659.17	Professional		$1,697.54	$1,997.11	$2,659.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,794.66 / $2,463.26 / $2,841.55	Facility		$1,794.66	$2,463.26	$2,841.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,932.21 / $2,463.26 / $3,518.94	Professional		$1,932.21	$2,463.26	$3,518.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,162.71 / $2,162.71 / $2,162.71	Facility		$2,162.71	$2,162.71	$2,162.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,214.92 / $2,690.97 / $4,275.29	Professional		$2,214.92	$2,690.97	$4,275.29
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 $1,610.90 / $2,604.92 / $3,873.92	Professional		$1,610.90	$2,604.92	$3,873.92