Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,482.64 / $8,229.00	Facility		$860.00	$2,482.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.81 / $2,554.62 / $3,323.52	Professional		$2,241.81	$2,554.62	$3,323.52
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 $1,940.84 / $2,351.85 / $3,406.80	Professional		$1,940.84	$2,351.85	$3,406.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,180.57 / $2,972.94 / $3,429.50	Facility		$2,180.57	$2,972.94	$3,429.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,075.75 / $2,972.94 / $4,247.06	Professional		$2,075.75	$2,972.94	$4,247.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,618.35 / $2,618.35 / $2,962.54	Facility		$2,618.35	$2,618.35	$2,962.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,640.92 / $3,270.69 / $4,921.25	Professional		$2,640.92	$3,270.69	$4,921.25
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 $1,946.24 / $2,978.28 / $4,609.35	Professional		$1,946.24	$2,978.28	$4,609.35