Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,537.44 / $8,229.00	Facility		$860.00	$2,537.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,979.64 / $2,272.96 / $2,717.16	Professional		$1,979.64	$2,272.96	$2,717.16
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 $1,760.60 / $2,095.73 / $2,802.99	Professional		$1,760.60	$2,095.73	$2,802.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,914.60 / $2,627.88 / $3,031.45	Facility		$1,914.60	$2,627.88	$3,031.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,033.58 / $2,627.88 / $3,754.12	Professional		$2,033.58	$2,627.88	$3,754.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.62 / $2,313.62 / $3,027.95	Facility		$2,313.62	$2,313.62	$3,027.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,343.29 / $2,862.40 / $4,487.70	Professional		$2,343.29	$2,862.40	$4,487.70
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 $1,997.35 / $2,897.42 / $4,066.56	Professional		$1,997.35	$2,897.42	$4,066.56