Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,413.70 / $8,229.00	Facility		$860.00	$3,413.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,278.26 / $3,725.23 / $4,876.96	Professional		$3,278.26	$3,725.23	$4,876.96
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 $2,282.76 / $2,685.61 / $3,478.09	Professional		$2,282.76	$2,685.61	$3,478.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,183.48 / $4,344.70 / $5,011.93	Facility		$3,183.48	$4,344.70	$5,011.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,103.36 / $4,344.70 / $6,206.72	Professional		$3,103.36	$4,344.70	$6,206.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.26 / $3,818.26 / $3,818.26	Facility		$3,818.26	$3,818.26	$3,818.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,501.83 / $4,867.67 / $8,534.73	Professional		$3,501.83	$4,867.67	$8,534.73
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 $3,337.54 / $5,122.10 / $7,137.84	Professional		$3,337.54	$5,122.10	$7,137.84