Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,958.65 / $8,229.00	Facility		$860.00	$1,958.65	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.65 / $2,234.53 / $2,909.18	Professional		$1,958.65	$2,234.53	$2,909.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,777.75 / $2,091.48 / $2,845.13	Professional		$1,777.75	$2,091.48	$2,845.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,908.36 / $2,601.27 / $3,000.75	Facility		$1,908.36	$2,601.27	$3,000.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.95 / $2,601.27 / $3,716.10	Professional		$2,041.95	$2,601.27	$3,716.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.79 / $2,289.79 / $2,289.79	Facility		$2,289.79	$2,289.79	$2,289.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,319.44 / $2,824.74 / $4,478.03	Professional		$2,319.44	$2,824.74	$4,478.03
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 $2,018.02 / $2,863.97 / $4,218.57	Professional		$2,018.02	$2,863.97	$4,218.57