Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,146.59 / $8,229.00	Facility		$860.00	$2,146.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.77 / $1,998.06 / $2,404.39	Professional		$1,751.77	$1,998.06	$2,404.39
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 $1,478.71 / $1,791.86 / $2,817.22	Professional		$1,478.71	$1,791.86	$2,817.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,707.16 / $2,326.87 / $2,684.21	Facility		$1,707.16	$2,326.87	$2,684.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,804.07 / $2,326.87 / $3,324.10	Professional		$1,804.07	$2,326.87	$3,324.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.37 / $2,047.37 / $2,561.53	Facility		$2,047.37	$2,047.37	$2,561.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.73 / $2,550.30 / $3,917.37	Professional		$1,937.73	$2,550.30	$3,917.37
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 $1,688.29 / $2,559.23 / $3,663.68	Professional		$1,688.29	$2,559.23	$3,663.68