Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,469.76 / $8,229.00	Facility		$860.00	$2,469.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.13 / $2,209.85 / $2,865.88	Professional		$1,926.13	$2,209.85	$2,865.88
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 $1,723.73 / $2,088.76 / $3,090.40	Professional		$1,723.73	$2,088.76	$3,090.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,878.92 / $2,560.59 / $2,953.82	Facility		$1,878.92	$2,560.59	$2,953.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,828.99 / $2,560.59 / $3,657.98	Professional		$1,828.99	$2,560.59	$3,657.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.83 / $2,252.83 / $2,947.18	Facility		$2,252.83	$2,252.83	$2,947.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,275.51 / $2,851.23 / $4,366.74	Professional		$2,275.51	$2,851.23	$4,366.74
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 $1,961.25 / $3,146.19 / $4,138.41	Professional		$1,961.25	$3,146.19	$4,138.41