Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,027.98 / $8,229.00	Facility		$860.00	$2,027.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.68 / $2,265.62 / $2,947.56	Professional		$1,988.68	$2,265.62	$2,947.56
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 $1,583.64 / $2,102.62 / $2,826.72	Professional		$1,583.64	$2,102.62	$2,826.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,933.34 / $2,635.93 / $3,040.74	Facility		$1,933.34	$2,635.93	$3,040.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,037.18 / $2,635.93 / $3,765.62	Professional		$2,037.18	$2,635.93	$3,765.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.13 / $2,322.13 / $2,419.98	Facility		$2,322.13	$2,322.13	$2,419.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,300.06 / $2,841.06 / $4,488.47	Professional		$2,300.06	$2,841.06	$4,488.47
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 $2,007.09 / $3,261.36 / $4,089.38	Professional		$2,007.09	$3,261.36	$4,089.38