Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,632.64 / $8,229.00	Facility		$860.00	$2,632.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,230.26 / $2,561.82 / $3,304.66	Professional		$2,230.26	$2,561.82	$3,304.66
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 $1,972.90 / $2,369.56 / $3,539.50	Professional		$1,972.90	$2,369.56	$3,539.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,168.14 / $2,956.16 / $3,410.14	Facility		$2,168.14	$2,956.16	$3,410.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,428.27 / $2,956.16 / $4,223.08	Professional		$2,428.27	$2,956.16	$4,223.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,603.89 / $2,603.89 / $3,141.55	Facility		$2,603.89	$2,603.89	$3,141.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.22 / $3,290.55 / $4,958.25	Professional		$2,710.22	$3,290.55	$4,958.25
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 $2,236.59 / $3,268.31 / $4,596.52	Professional		$2,236.59	$3,268.31	$4,596.52