Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,747.00 / $8,229.00	Facility		$787.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,494.64 / $3,212.37 / $3,819.06	Professional		$2,494.64	$3,212.37	$3,819.06
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 $3,339.83 / $3,929.22 / $4,330.39	Professional		$3,339.83	$3,929.22	$4,330.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,318.35 / $3,182.05 / $3,670.72	Facility		$2,318.35	$3,182.05	$3,670.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,343.50 / $3,182.05 / $4,794.88	Professional		$2,343.50	$3,182.05	$4,794.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,281.27 / $3,281.27 / $3,281.27	Facility		$3,281.27	$3,281.27	$3,281.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.98 / $3,576.91 / $13,751.27	Professional		$2,424.98	$3,576.91	$13,751.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
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 $2,344.37 / $3,606.72 / $4,874.35	Professional		$2,344.37	$3,606.72	$4,874.35