Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,102.28 / $8,229.00	Facility		$860.00	$2,102.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.28 / $2,398.36 / $3,125.28	Professional		$2,102.28	$2,398.36	$3,125.28
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 $1,587.03 / $1,923.11 / $2,972.09	Professional		$1,587.03	$1,923.11	$2,972.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,049.48 / $2,793.22 / $3,222.19	Facility		$2,049.48	$2,793.22	$3,222.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $2,793.22 / $3,990.32	Professional		$1,995.16	$2,793.22	$3,990.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,048.96 / $2,457.36 / $2,457.36	Facility		$2,048.96	$2,457.36	$2,457.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.81 / $2,901.33 / $4,448.64	Professional		$2,160.81	$2,901.33	$4,448.64
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 $1,797.28 / $2,734.40 / $4,303.97	Professional		$1,797.28	$2,734.40	$4,303.97