Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,430.73 / $8,229.00	Facility		$860.00	$2,430.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.47 / $2,093.55 / $2,713.16	Professional		$1,824.47	$2,093.55	$2,713.16
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 $1,613.35 / $1,963.16 / $2,929.44	Professional		$1,613.35	$1,963.16	$2,929.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,765.50 / $2,423.23 / $2,795.38	Facility		$1,765.50	$2,423.23	$2,795.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,691.94 / $2,423.23 / $3,461.76	Professional		$1,691.94	$2,423.23	$3,461.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.71 / $2,132.71 / $2,900.61	Facility		$2,132.71	$2,132.71	$2,900.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.51 / $2,709.00 / $4,210.26	Professional		$2,242.51	$2,709.00	$4,210.26
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 $1,878.82 / $2,664.12 / $3,803.30	Professional		$1,878.82	$2,664.12	$3,803.30