Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,311.63 / $8,229.00	Facility		$860.00	$2,311.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.41 / $1,990.98 / $2,397.04	Professional		$1,746.41	$1,990.98	$2,397.04
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 $1,562.78 / $1,893.73 / $2,941.99	Professional		$1,562.78	$1,893.73	$2,941.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,689.56 / $2,319.00 / $2,675.14	Facility		$1,689.56	$2,319.00	$2,675.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,820.65 / $2,319.00 / $3,312.86	Professional		$1,820.65	$2,319.00	$3,312.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.04 / $2,040.04 / $2,758.48	Facility		$2,040.04	$2,040.04	$2,758.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,098.88 / $2,693.26 / $3,973.37	Professional		$2,098.88	$2,693.26	$3,973.37
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 $1,779.41 / $2,437.00 / $3,579.00	Professional		$1,779.41	$2,437.00	$3,579.00