Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,150.26 / $8,229.00	Facility		$860.00	$2,150.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.34 / $2,104.31 / $2,531.44	Professional		$1,844.34	$2,104.31	$2,531.44
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 $1,667.36 / $2,020.46 / $3,041.16	Professional		$1,667.36	$2,020.46	$3,041.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,797.73 / $2,450.34 / $2,826.63	Facility		$1,797.73	$2,450.34	$2,826.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,750.24 / $2,450.34 / $3,500.48	Professional		$1,750.24	$2,450.34	$3,500.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,156.28 / $2,156.28 / $2,565.91	Facility		$2,156.28	$2,156.28	$2,565.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,183.14 / $2,731.25 / $4,206.63	Professional		$2,183.14	$2,731.25	$4,206.63
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 $1,895.19 / $2,684.94 / $3,783.80	Professional		$1,895.19	$2,684.94	$3,783.80