Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,512.00 / $8,229.00	Facility		$860.00	$2,512.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,512.00 / $2,867.39 / $3,744.02	Professional		$2,512.00	$2,867.39	$3,744.02
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 $2,271.55 / $2,752.59 / $3,573.35	Professional		$2,271.55	$2,752.59	$3,573.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,427.52 / $3,331.89 / $3,843.57	Facility		$2,427.52	$3,331.89	$3,843.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,379.92 / $3,331.89 / $4,759.84	Professional		$2,379.92	$3,331.89	$4,759.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,825.87 / $2,927.99 / $2,927.99	Facility		$2,825.87	$2,927.99	$2,927.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,973.02 / $3,639.44 / $5,745.67	Professional		$2,973.02	$3,639.44	$5,745.67
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 $2,594.36 / $3,485.76 / $5,426.44	Professional		$2,594.36	$3,485.76	$5,426.44