Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,951.27 / $8,229.00	Facility		$860.00	$1,951.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,951.27 / $2,225.52 / $2,897.72	Professional		$1,951.27	$2,225.52	$2,897.72
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 $1,759.19 / $2,131.31 / $2,981.99	Professional		$1,759.19	$2,131.31	$2,981.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.38 / $2,590.35 / $2,988.15	Facility		$1,900.38	$2,590.35	$2,988.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,808.62 / $2,590.35 / $3,700.50	Professional		$1,808.62	$2,590.35	$3,700.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.50 / $2,280.50 / $2,280.50	Facility		$2,280.50	$2,280.50	$2,280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.98 / $2,758.52 / $4,584.60	Professional		$2,381.98	$2,758.52	$4,584.60
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 $1,966.81 / $2,875.68 / $4,039.85	Professional		$1,966.81	$2,875.68	$4,039.85