Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,599.90 / $8,229.00	Facility		$860.00	$2,599.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,599.90 / $2,956.97 / $3,875.27	Professional		$2,599.90	$2,956.97	$3,875.27
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 $2,225.48 / $2,807.40 / $3,778.10	Professional		$2,225.48	$2,807.40	$3,778.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,527.67 / $3,448.73 / $3,978.35	Facility		$2,527.67	$3,448.73	$3,978.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,463.38 / $3,448.73 / $4,926.76	Professional		$2,463.38	$3,448.73	$4,926.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,996.73 / $3,030.34 / $3,030.34	Facility		$2,996.73	$3,030.34	$3,030.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,093.85 / $3,781.52 / $5,963.15	Professional		$3,093.85	$3,781.52	$5,963.15
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 $2,631.70 / $3,817.29 / $5,357.60	Professional		$2,631.70	$3,817.29	$5,357.60