Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,102.41 / $8,229.00	Facility		$860.00	$3,102.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,100.82 / $3,524.38 / $4,258.21	Professional		$3,100.82	$3,524.38	$4,258.21
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 $2,430.83 / $2,945.59 / $4,404.29	Professional		$2,430.83	$2,945.59	$4,404.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,997.07 / $4,113.62 / $4,745.35	Facility		$2,997.07	$4,113.62	$4,745.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,225.59 / $4,113.62 / $5,876.60	Professional		$3,225.59	$4,113.62	$5,876.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,615.50 / $3,615.50 / $3,700.23	Facility		$3,615.50	$3,615.50	$3,700.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,262.88 / $4,475.14 / $7,096.02	Professional		$3,262.88	$4,475.14	$7,096.02
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 $3,348.67 / $4,664.93 / $6,717.26	Professional		$3,348.67	$4,664.93	$6,717.26