Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,762.49 / $8,229.00	Facility		$860.00	$2,762.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.76 / $3,036.10 / $3,941.88	Professional		$2,646.76	$3,036.10	$3,941.88
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 $2,393.77 / $2,900.69 / $4,125.10	Professional		$2,393.77	$2,900.69	$4,125.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,580.19 / $3,515.89 / $4,055.84	Facility		$2,580.19	$3,515.89	$4,055.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,732.62 / $3,515.89 / $5,022.70	Professional		$2,732.62	$3,515.89	$5,022.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,095.22 / $3,095.22 / $3,971.38	Facility		$3,095.22	$3,095.22	$3,971.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.99 / $3,865.52 / $5,886.66	Professional		$3,060.99	$3,865.52	$5,886.66
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 $2,660.90 / $3,850.12 / $5,671.16	Professional		$2,660.90	$3,850.12	$5,671.16