Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,111.98 / $8,229.00	Facility		$860.00	$3,111.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,111.98 / $3,545.82 / $4,613.09	Professional		$3,111.98	$3,545.82	$4,613.09
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 $2,681.27 / $3,249.07 / $4,408.60	Professional		$2,681.27	$3,249.07	$4,408.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,027.63 / $4,127.91 / $4,761.84	Facility		$3,027.63	$4,127.91	$4,761.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,190.97 / $4,127.91 / $5,897.02	Professional		$3,190.97	$4,127.91	$5,897.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,634.40 / $3,634.40 / $3,634.40	Facility		$3,634.40	$3,634.40	$3,634.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,350.51 / $4,504.87 / $6,987.96	Professional		$3,350.51	$4,504.87	$6,987.96
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 $3,211.14 / $4,890.81 / $6,469.77	Professional		$3,211.14	$4,890.81	$6,469.77