Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,511.21 / $8,229.00	Facility		$860.00	$2,511.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.71 / $2,393.28 / $2,883.32	Professional		$2,100.71	$2,393.28	$2,883.32
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 $1,890.86 / $2,250.81 / $3,374.50	Professional		$1,890.86	$2,250.81	$3,374.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,042.75 / $2,785.09 / $3,212.81	Facility		$2,042.75	$2,785.09	$3,212.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,151.83 / $2,785.09 / $3,978.70	Professional		$2,151.83	$2,785.09	$3,978.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,453.00 / $2,453.00 / $2,996.66	Facility		$2,453.00	$2,453.00	$2,996.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.71 / $3,100.11 / $4,768.63	Professional		$2,540.71	$3,100.11	$4,768.63
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 $2,289.23 / $3,103.70 / $4,533.60	Professional		$2,289.23	$3,103.70	$4,533.60