Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,839.31 / $8,229.00	Facility		$787.00	$2,839.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,839.31 / $3,248.52 / $4,233.58	Professional		$2,839.31	$3,248.52	$4,233.58
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 $2,170.15 / $2,590.23 / $4,045.48	Professional		$2,170.15	$2,590.23	$4,045.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,743.97 / $3,766.22 / $4,344.62	Facility		$2,743.97	$3,766.22	$4,344.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,629.63 / $3,766.22 / $5,380.32	Professional		$2,629.63	$3,766.22	$5,380.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,309.40 / $3,309.40 / $3,309.40	Facility		$3,309.40	$3,309.40	$3,309.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,036.49 / $4,111.60 / $6,423.81	Professional		$3,036.49	$4,111.60	$6,423.81
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 $2,879.74 / $3,904.59 / $5,859.50	Professional		$2,879.74	$3,904.59	$5,859.50