Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,589.48 / $8,229.00	Facility		$860.00	$2,589.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,981.44 / $2,260.12 / $2,719.62	Professional		$1,981.44	$2,260.12	$2,719.62
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 $1,851.40 / $2,243.46 / $3,187.99	Professional		$1,851.40	$2,243.46	$3,187.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,930.50 / $2,631.40 / $3,035.50	Facility		$1,930.50	$2,631.40	$3,035.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.19 / $2,631.40 / $3,759.14	Professional		$2,038.19	$2,631.40	$3,759.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,316.00 / $2,316.00 / $3,090.06	Facility		$2,316.00	$2,316.00	$3,090.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.73 / $2,940.93 / $4,514.72	Professional		$2,344.73	$2,940.93	$4,514.72
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 $2,040.99 / $2,896.68 / $4,266.76	Professional		$2,040.99	$2,896.68	$4,266.76