Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,528.82 / $8,229.00	Facility		$860.00	$2,528.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,528.82 / $2,879.69 / $3,761.87	Professional		$2,528.82	$2,879.69	$3,761.87
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 $2,019.60 / $2,447.28 / $3,588.00	Professional		$2,019.60	$2,447.28	$3,588.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,453.48 / $3,367.53 / $3,884.68	Facility		$2,453.48	$3,367.53	$3,884.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,405.38 / $3,367.53 / $4,810.76	Professional		$2,405.38	$3,367.53	$4,810.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.42 / $2,952.35 / $2,952.35	Facility		$2,578.42	$2,952.35	$2,952.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.94 / $3,484.09 / $5,502.00	Professional		$2,677.94	$3,484.09	$5,502.00
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 $2,321.37 / $4,125.43 / $5,201.92	Professional		$2,321.37	$4,125.43	$5,201.92