Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,469.48 / $8,229.00	Facility		$860.00	$2,469.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.77 / $2,167.55 / $2,815.15	Professional		$1,889.77	$2,167.55	$2,815.15
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 $1,690.78 / $2,012.63 / $3,169.87	Professional		$1,690.78	$2,012.63	$3,169.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,831.96 / $2,514.44 / $2,900.60	Facility		$1,831.96	$2,514.44	$2,900.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,065.42 / $2,514.44 / $3,592.06	Professional		$2,065.42	$2,514.44	$3,592.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.79 / $2,211.79 / $2,946.84	Facility		$2,211.79	$2,211.79	$2,946.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,287.14 / $2,846.83 / $4,256.07	Professional		$2,287.14	$2,846.83	$4,256.07
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 $2,124.23 / $3,215.46 / $4,055.67	Professional		$2,124.23	$3,215.46	$4,055.67