Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,366.25 / $8,229.00	Facility		$860.00	$2,366.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.74 / $2,027.44 / $2,633.60	Professional		$1,767.74	$2,027.44	$2,633.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,618.45 / $1,961.19 / $2,884.05	Professional		$1,618.45	$1,961.19	$2,884.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,725.61 / $2,351.34 / $2,712.44	Facility		$1,725.61	$2,351.34	$2,712.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,641.74 / $2,351.34 / $3,359.06	Professional		$1,641.74	$2,351.34	$3,359.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.61 / $2,068.61 / $2,823.65	Facility		$2,068.61	$2,068.61	$2,823.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.13 / $2,671.16 / $4,081.86	Professional		$2,088.13	$2,671.16	$4,081.86
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 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.48 / $2,575.26 / $3,675.97	Professional		$1,818.48	$2,575.26	$3,675.97