Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,364.46 / $8,229.00	Facility		$860.00	$2,364.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,364.46 / $2,695.71 / $3,508.78	Professional		$2,364.46	$2,695.71	$3,508.78
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 $1,691.44 / $2,000.92 / $3,346.29	Professional		$1,691.44	$2,000.92	$3,346.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,301.31 / $3,137.18 / $3,618.95	Facility		$2,301.31	$3,137.18	$3,618.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,190.42 / $3,137.18 / $4,481.68	Professional		$2,190.42	$3,137.18	$4,481.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.57 / $2,762.57 / $2,764.57	Facility		$2,762.57	$2,762.57	$2,764.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.14 / $3,256.03 / $4,739.79	Professional		$2,302.14	$3,256.03	$4,739.79
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 $2,280.48 / $3,283.52 / $4,853.97	Professional		$2,280.48	$3,283.52	$4,853.97