Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,273.23 / $8,229.00	Facility		$860.00	$2,273.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.92 / $2,149.94 / $2,588.52	Professional		$1,885.92	$2,149.94	$2,588.52
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 $1,512.64 / $1,832.97 / $3,013.03	Professional		$1,512.64	$1,832.97	$3,013.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,835.70 / $2,502.56 / $2,886.88	Facility		$1,835.70	$2,502.56	$2,886.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,747.32 / $2,502.56 / $3,575.08	Professional		$1,747.32	$2,502.56	$3,575.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.40 / $2,203.40 / $2,712.66	Facility		$2,203.40	$2,203.40	$2,712.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,040.96 / $2,783.22 / $4,275.31	Professional		$2,040.96	$2,783.22	$4,275.31
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 $1,636.74 / $2,596.40 / $3,835.99	Professional		$1,636.74	$2,596.40	$3,835.99