Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,026.02 / $8,229.00	Facility		$860.00	$2,026.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,026.02 / $2,311.12 / $3,008.56	Professional		$2,026.02	$2,311.12	$3,008.56
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 $1,828.16 / $2,215.30 / $3,098.83	Professional		$1,828.16	$2,215.30	$3,098.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,960.33 / $2,690.65 / $3,103.86	Facility		$1,960.33	$2,690.65	$3,103.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,921.89 / $2,690.65 / $3,843.78	Professional		$1,921.89	$2,690.65	$3,843.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.28 / $2,368.28 / $2,368.28	Facility		$2,368.28	$2,368.28	$2,368.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.05 / $2,866.92 / $4,764.21	Professional		$2,476.05	$2,866.92	$4,764.21
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 $2,087.96 / $2,989.34 / $4,199.38	Professional		$2,087.96	$2,989.34	$4,199.38