Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,449.33 / $8,229.00	Facility		$860.00	$3,449.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,308.94 / $3,770.77 / $4,904.18	Professional		$3,308.94	$3,770.77	$4,904.18
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 $2,986.29 / $3,618.69 / $4,702.04	Professional		$2,986.29	$3,618.69	$4,702.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,219.92 / $4,390.05 / $5,064.24	Facility		$3,219.92	$4,390.05	$5,064.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,445.31 / $4,390.05 / $6,271.50	Professional		$3,445.31	$4,390.05	$6,271.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,864.94 / $3,864.94 / $3,864.94	Facility		$3,864.94	$3,864.94	$3,864.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,086.18 / $5,126.06 / $7,585.99	Professional		$4,086.18	$5,126.06	$7,585.99
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 $3,415.83 / $5,682.33 / $7,150.03	Professional		$3,415.83	$5,682.33	$7,150.03