Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,543.00 / $8,229.00	Facility		$860.00	$2,543.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,543.00 / $2,866.08 / $3,783.19	Professional		$2,543.00	$2,866.08	$3,783.19
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 $1,536.97 / $2,139.92 / $3,451.91	Professional		$1,536.97	$2,139.92	$3,451.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,446.61 / $3,338.22 / $3,850.86	Facility		$2,446.61	$3,338.22	$3,850.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,742.11 / $3,338.22 / $4,768.88	Professional		$2,742.11	$3,338.22	$4,768.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,178.75 / $2,933.93 / $2,933.93	Facility		$2,178.75	$2,933.93	$2,933.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,992.42 / $3,050.60 / $5,023.14	Professional		$1,992.42	$3,050.60	$5,023.14
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 $1,947.62 / $2,968.77 / $5,265.94	Professional		$1,947.62	$2,968.77	$5,265.94