Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,196.65 / $2,522.10 / $3,260.31	Professional		$2,196.65	$2,522.10	$3,260.31
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 $1,932.32 / $2,353.17 / $3,558.60	Professional		$1,932.32	$2,353.17	$3,558.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.64 / $2,914.00 / $3,361.52	Facility		$2,137.64	$2,914.00	$3,361.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,034.60 / $2,914.00 / $4,162.85	Professional		$2,034.60	$2,914.00	$4,162.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,566.37 / $2,566.37 / $3,318.72	Facility		$2,566.37	$2,566.37	$3,318.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.66 / $3,256.97 / $5,015.26	Professional		$2,595.66	$3,256.97	$5,015.26
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 $2,262.81 / $3,212.76 / $4,590.54	Professional		$2,262.81	$3,212.76	$4,590.54