Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,265.76 / $8,229.00	Facility		$860.00	$2,265.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.88 / $1,967.02 / $2,554.55	Professional		$1,714.88	$1,967.02	$2,554.55
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 $1,560.48 / $1,890.95 / $2,748.06	Professional		$1,560.48	$1,890.95	$2,748.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,673.81 / $2,280.77 / $2,631.03	Facility		$1,673.81	$2,280.77	$2,631.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,592.46 / $2,280.77 / $3,258.24	Professional		$1,592.46	$2,280.77	$3,258.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,005.98 / $2,005.98 / $2,703.74	Facility		$2,005.98	$2,005.98	$2,703.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.31 / $2,643.52 / $3,933.83	Professional		$2,048.31	$2,643.52	$3,933.83
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 $1,763.97 / $2,916.99 / $3,679.51	Professional		$1,763.97	$2,916.99	$3,679.51