Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,367.38 / $8,229.00	Facility		$860.00	$2,367.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.90 / $2,184.19 / $2,820.01	Professional		$1,901.90	$2,184.19	$2,820.01
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 $1,789.47 / $2,141.76 / $3,047.00	Professional		$1,789.47	$2,141.76	$3,047.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,849.86 / $2,522.07 / $2,909.39	Facility		$1,849.86	$2,522.07	$2,909.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,071.69 / $2,522.07 / $3,602.96	Professional		$2,071.69	$2,522.07	$3,602.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.06 / $2,222.06 / $2,825.00	Facility		$2,222.06	$2,222.06	$2,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,251.71 / $2,803.94 / $4,348.28	Professional		$2,251.71	$2,803.94	$4,348.28
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 $1,919.15 / $2,939.95 / $4,103.10	Professional		$1,919.15	$2,939.95	$4,103.10