Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,723.75 / $8,229.00	Facility		$860.00	$2,723.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,087.05 / $2,395.10 / $3,103.19	Professional		$2,087.05	$2,395.10	$3,103.19
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 $1,914.20 / $2,312.40 / $3,349.73	Professional		$1,914.20	$2,312.40	$3,349.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,020.09 / $2,772.67 / $3,198.48	Facility		$2,020.09	$2,772.67	$3,198.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,935.92 / $2,772.67 / $3,960.96	Professional		$1,935.92	$2,772.67	$3,960.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,440.66 / $2,440.66 / $3,250.26	Facility		$2,440.66	$2,440.66	$3,250.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.98 / $3,090.83 / $4,706.68	Professional		$2,465.98	$3,090.83	$4,706.68
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 $2,102.73 / $3,045.85 / $4,486.49	Professional		$2,102.73	$3,045.85	$4,486.49