Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $4,024.29 / $8,229.00	Facility		$860.00	$4,024.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,024.29 / $4,608.47 / $5,974.04	Professional		$4,024.29	$4,608.47	$5,974.04
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 $1,526.56 / $3,283.77 / $5,384.66	Professional		$1,526.56	$3,283.77	$5,384.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,915.95 / $5,340.99 / $6,161.21	Facility		$3,915.95	$5,340.99	$6,161.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,387.24 / $5,340.99 / $7,629.98	Professional		$4,387.24	$5,340.99	$7,629.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,309.98 / $4,688.54 / $4,688.54	Facility		$2,309.98	$4,688.54	$4,688.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,013.91 / $3,957.25 / $7,919.47	Professional		$2,013.91	$3,957.25	$7,919.47
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 $1,912.29 / $3,594.05 / $8,366.16	Professional		$1,912.29	$3,594.05	$8,366.16