Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,184.44 / $8,229.00	Facility		$860.00	$2,184.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.65 / $2,044.24 / $2,468.73	Professional		$1,798.65	$2,044.24	$2,468.73
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 $1,640.34 / $1,987.71 / $2,833.30	Professional		$1,640.34	$1,987.71	$2,833.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,750.14 / $2,387.44 / $2,754.09	Facility		$1,750.14	$2,387.44	$2,754.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,872.65 / $2,387.44 / $3,410.64	Professional		$1,872.65	$2,387.44	$3,410.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,096.57 / $2,096.57 / $2,606.71	Facility		$2,096.57	$2,096.57	$2,606.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.53 / $2,592.26 / $4,122.32	Professional		$2,129.53	$2,592.26	$4,122.32
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 $1,817.12 / $2,633.17 / $3,695.68	Professional		$1,817.12	$2,633.17	$3,695.68