Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,047.10 / $8,229.00	Facility		$860.00	$2,047.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.82 / $2,227.84 / $2,909.82	Professional		$1,954.82	$2,227.84	$2,909.82
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 $1,737.19 / $2,105.07 / $2,983.60	Professional		$1,737.19	$2,105.07	$2,983.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,129.71 / $2,598.33 / $2,997.36	Facility		$2,129.71	$2,598.33	$2,997.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,019.04 / $2,598.33 / $3,711.90	Professional		$2,019.04	$2,598.33	$3,711.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,284.40 / $2,284.40 / $2,442.81	Facility		$2,284.40	$2,284.40	$2,442.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,308.78 / $2,822.35 / $4,385.17	Professional		$2,308.78	$2,822.35	$4,385.17
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 $1,974.53 / $2,665.77 / $4,219.14	Professional		$1,974.53	$2,665.77	$4,219.14