Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,648.97 / $8,229.00	Facility		$860.00	$2,648.97	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.09 / $2,343.69 / $3,028.25	Professional		$2,041.09	$2,343.69	$3,028.25
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 $1,864.70 / $2,259.58 / $3,416.80	Professional		$1,864.70	$2,259.58	$3,416.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,986.55 / $2,708.22 / $3,124.11	Facility		$1,986.55	$2,708.22	$3,124.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,890.92 / $2,708.22 / $3,868.88	Professional		$1,890.92	$2,708.22	$3,868.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,384.50 / $2,384.50 / $3,161.03	Facility		$2,384.50	$2,384.50	$3,161.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,486.57 / $3,045.49 / $4,689.47	Professional		$2,486.57	$3,045.49	$4,689.47
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 $2,059.44 / $2,987.74 / $4,217.22	Professional		$2,059.44	$2,987.74	$4,217.22