Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,310.46 / $8,229.00	Facility		$860.00	$2,310.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,310.46 / $2,630.10 / $3,440.40	Professional		$2,310.46	$2,630.10	$3,440.40
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 $1,538.11 / $2,050.81 / $3,201.86	Professional		$1,538.11	$2,050.81	$3,201.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,244.67 / $3,063.16 / $3,533.56	Facility		$2,244.67	$3,063.16	$3,533.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,379.60 / $3,063.16 / $4,375.93	Professional		$2,379.60	$3,063.16	$4,375.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.82 / $2,692.72 / $2,692.72	Facility		$2,106.82	$2,692.72	$2,692.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,410.53 / $3,183.88 / $4,997.89	Professional		$2,410.53	$3,183.88	$4,997.89
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 $1,936.61 / $3,395.60 / $4,765.76	Professional		$1,936.61	$3,395.60	$4,765.76