Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,363.44 / $8,229.00	Facility		$860.00	$3,363.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,363.44 / $3,832.71 / $4,984.50	Professional		$3,363.44	$3,832.71	$4,984.50
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 $2,917.30 / $3,535.08 / $4,847.37	Professional		$2,917.30	$3,535.08	$4,847.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,272.09 / $4,461.22 / $5,146.34	Facility		$3,272.09	$4,461.22	$5,146.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,447.19 / $4,461.22 / $6,373.18	Professional		$3,447.19	$4,461.22	$6,373.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,928.44 / $3,928.44 / $3,928.44	Facility		$3,928.44	$3,928.44	$3,928.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,621.79 / $4,868.58 / $7,567.44	Professional		$3,621.79	$4,868.58	$7,567.44
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 $3,472.39 / $5,287.44 / $6,994.24	Professional		$3,472.39	$5,287.44	$6,994.24