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 $2,461.02 / $2,829.04 / $3,636.11	Professional		$2,461.02	$2,829.04	$3,636.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.77 / $2,479.73 / $3,082.51	Professional		$2,107.77	$2,479.73	$3,082.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,373.66 / $3,257.97 / $3,758.30	Facility		$2,373.66	$3,257.97	$3,758.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,676.19 / $3,257.97 / $4,654.24	Professional		$2,676.19	$3,257.97	$4,654.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,871.58 / $2,871.58 / $2,871.58	Facility		$2,871.58	$2,871.58	$2,871.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,627.52 / $3,555.47 / $6,412.46	Professional		$2,627.52	$3,555.47	$6,412.46
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 $2,058.06 / $3,861.71 / $5,198.35	Professional		$2,058.06	$3,861.71	$5,198.35