Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,269.57 / $8,229.00	Facility		$860.00	$2,269.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.56 / $2,030.30 / $2,439.79	Professional		$1,777.56	$2,030.30	$2,439.79
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 $1,619.25 / $1,962.16 / $2,840.88	Professional		$1,619.25	$1,962.16	$2,840.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,735.86 / $2,365.03 / $2,728.23	Facility		$1,735.86	$2,365.03	$2,728.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,942.71 / $2,365.03 / $3,378.62	Professional		$1,942.71	$2,365.03	$3,378.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,079.61 / $2,079.61 / $2,708.30	Facility		$2,079.61	$2,079.61	$2,708.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.96 / $2,621.44 / $4,005.86	Professional		$2,094.96	$2,621.44	$4,005.86
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 $1,826.37 / $2,641.63 / $3,807.06	Professional		$1,826.37	$2,641.63	$3,807.06