Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,900.14 / $8,229.00	Facility		$860.00	$1,900.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,900.14 / $2,167.69 / $2,822.72	Professional		$1,900.14	$2,167.69	$2,822.72
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 $1,794.09 / $2,110.69 / $2,744.09	Professional		$1,794.09	$2,110.69	$2,744.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,851.10 / $2,523.19 / $2,910.69	Facility		$1,851.10	$2,523.19	$2,910.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,802.28 / $2,523.19 / $3,604.56	Professional		$1,802.28	$2,523.19	$3,604.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,221.27 / $2,221.27 / $2,221.27	Facility		$2,221.27	$2,221.27	$2,221.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.76 / $2,718.27 / $4,329.79	Professional		$2,249.76	$2,718.27	$4,329.79
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 $1,957.68 / $2,975.58 / $3,898.90	Professional		$1,957.68	$2,975.58	$3,898.90