Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,263.57 / $8,229.00	Facility		$860.00	$2,263.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.97 / $1,990.92 / $2,587.42	Professional		$1,735.97	$1,990.92	$2,587.42
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 $1,597.72 / $1,936.07 / $2,780.39	Professional		$1,597.72	$1,936.07	$2,780.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,695.25 / $2,309.78 / $2,664.48	Facility		$1,695.25	$2,309.78	$2,664.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,897.32 / $2,309.78 / $3,299.68	Professional		$1,897.32	$2,309.78	$3,299.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,030.86 / $2,030.86 / $2,701.13	Facility		$2,030.86	$2,030.86	$2,701.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.79 / $2,565.42 / $3,949.45	Professional		$2,049.79	$2,565.42	$3,949.45
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 $1,784.88 / $2,529.42 / $3,546.10	Professional		$1,784.88	$2,529.42	$3,546.10