Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,602.88 / $8,229.00	Facility		$860.00	$2,602.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.90 / $2,216.54 / $2,867.87	Professional		$1,930.90	$2,216.54	$2,867.87
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 $1,805.32 / $2,148.98 / $3,106.87	Professional		$1,805.32	$2,148.98	$3,106.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.23 / $2,564.23 / $2,958.03	Facility		$1,868.23	$2,564.23	$2,958.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,106.34 / $2,564.23 / $3,663.20	Professional		$2,106.34	$2,564.23	$3,663.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,257.48 / $2,257.48 / $3,106.04	Facility		$2,257.48	$2,257.48	$3,106.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,285.17 / $2,865.98 / $4,544.47	Professional		$2,285.17	$2,865.98	$4,544.47
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 $1,947.01 / $2,822.51 / $4,157.51	Professional		$1,947.01	$2,822.51	$4,157.51