Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,235.25 / $8,229.00	Facility		$860.00	$2,235.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.82 / $2,090.11 / $2,705.06	Professional		$1,820.82	$2,090.11	$2,705.06
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 $1,648.96 / $1,998.16 / $2,928.67	Professional		$1,648.96	$1,998.16	$2,928.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,774.03 / $2,418.07 / $2,789.41	Facility		$1,774.03	$2,418.07	$2,789.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,727.19 / $2,418.07 / $3,454.38	Professional		$1,727.19	$2,418.07	$3,454.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,127.80 / $2,127.80 / $2,667.33	Facility		$2,127.80	$2,127.80	$2,667.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,159.66 / $2,719.99 / $4,156.70	Professional		$2,159.66	$2,719.99	$4,156.70
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 $1,872.12 / $2,660.77 / $3,734.42	Professional		$1,872.12	$2,660.77	$3,734.42