Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,953.15 / $8,229.00	Facility		$860.00	$2,953.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,953.15 / $3,359.93 / $4,397.77	Professional		$2,953.15	$3,359.93	$4,397.77
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 $2,175.23 / $2,899.33 / $4,215.29	Professional		$2,175.23	$2,899.33	$4,215.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,869.03 / $3,915.04 / $4,516.28	Facility		$2,869.03	$3,915.04	$4,516.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,069.86 / $3,915.04 / $5,592.92	Professional		$3,069.86	$3,915.04	$5,592.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,182.55 / $3,441.01 / $3,441.01	Facility		$3,182.55	$3,441.01	$3,441.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,155.94 / $4,082.58 / $6,532.35	Professional		$3,155.94	$4,082.58	$6,532.35
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 $2,793.39 / $4,025.95 / $6,091.52	Professional		$2,793.39	$4,025.95	$6,091.52