Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,261.91 / $8,229.00	Facility		$860.00	$2,261.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,071.37 / $2,377.83 / $2,843.06	Professional		$2,071.37	$2,377.83	$2,843.06
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 $1,852.23 / $2,265.79 / $3,298.30	Professional		$1,852.23	$2,265.79	$3,298.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,004.26 / $2,750.94 / $3,173.42	Facility		$2,004.26	$2,750.94	$3,173.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,920.75 / $2,750.94 / $3,929.92	Professional		$1,920.75	$2,750.94	$3,929.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,421.83 / $2,421.83 / $2,699.15	Facility		$2,421.83	$2,421.83	$2,699.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,451.81 / $2,994.36 / $4,720.16	Professional		$2,451.81	$2,994.36	$4,720.16
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 $2,088.98 / $3,029.11 / $4,251.38	Professional		$2,088.98	$3,029.11	$4,251.38