Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,360.28 / $8,229.00	Facility		$860.00	$2,360.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,237.65 / $2,560.11 / $4,102.85	Professional		$2,237.65	$2,560.11	$4,102.85
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 $2,002.85 / $2,415.78 / $3,190.63	Professional		$2,002.85	$2,415.78	$3,190.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,173.14 / $2,965.13 / $3,420.49	Facility		$2,173.14	$2,965.13	$3,420.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,117.94 / $2,965.13 / $4,235.89	Professional		$2,117.94	$2,965.13	$4,235.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $2,816.53	Facility		$2,612.00	$2,612.00	$2,816.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,648.23 / $3,211.28 / $5,072.88	Professional		$2,648.23	$3,211.28	$5,072.88
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 $2,267.54 / $3,083.96 / $4,612.64	Professional		$2,267.54	$3,083.96	$4,612.64