Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,428.86 / $8,229.00	Facility		$860.00	$2,428.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.76 / $2,208.33 / $2,655.56	Professional		$1,934.76	$2,208.33	$2,655.56
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 $1,752.50 / $2,123.62 / $3,104.75	Professional		$1,752.50	$2,123.62	$3,104.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,873.60 / $2,571.60 / $2,966.53	Facility		$1,873.60	$2,571.60	$2,966.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,019.04 / $2,571.60 / $3,673.72	Professional		$2,019.04	$2,571.60	$3,673.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,262.56 / $2,262.56 / $2,898.37	Facility		$2,262.56	$2,262.56	$2,898.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.23 / $2,845.66 / $4,414.62	Professional		$2,272.23	$2,845.66	$4,414.62
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 $1,990.59 / $2,822.27 / $3,961.08	Professional		$1,990.59	$2,822.27	$3,961.08