Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,464.94 / $8,229.00	Facility		$860.00	$2,464.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.67 / $2,158.80 / $2,793.64	Professional		$1,880.67	$2,158.80	$2,793.64
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 $1,709.18 / $2,071.13 / $3,025.79	Professional		$1,709.18	$2,071.13	$3,025.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,832.26 / $2,497.50 / $2,881.05	Facility		$1,832.26	$2,497.50	$2,881.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,743.79 / $2,497.50 / $3,567.86	Professional		$1,743.79	$2,497.50	$3,567.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,198.23 / $2,198.23 / $2,941.43	Facility		$2,198.23	$2,198.23	$2,941.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,258.85 / $2,893.42 / $4,312.79	Professional		$2,258.85	$2,893.42	$4,312.79
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 $1,896.66 / $2,749.20 / $3,858.52	Professional		$1,896.66	$2,749.20	$3,858.52