Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,146.53 / $8,229.00	Facility		$860.00	$2,146.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.41 / $1,844.49 / $2,649.15	Professional		$1,608.41	$1,844.49	$2,649.15
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 $1,475.46 / $1,787.92 / $2,679.03	Professional		$1,475.46	$1,787.92	$2,679.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,570.79 / $2,140.15 / $2,468.82	Facility		$1,570.79	$2,140.15	$2,468.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,680.75 / $2,140.15 / $3,057.36	Professional		$1,680.75	$2,140.15	$3,057.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.68 / $1,882.68 / $2,561.46	Facility		$1,882.68	$1,882.68	$2,561.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.67 / $2,375.73 / $3,721.83	Professional		$1,898.67	$2,375.73	$3,721.83
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 $1,366.82 / $2,264.15 / $3,284.68	Professional		$1,366.82	$2,264.15	$3,284.68