Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $4,745.97 / $8,229.00	Facility		$860.00	$4,745.97	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,745.97 / $5,399.00 / $7,066.99	Professional		$4,745.97	$5,399.00	$7,066.99
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 $3,427.64 / $4,044.56 / $6,725.71	Professional		$3,427.64	$4,044.56	$6,725.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,610.68 / $6,291.80 / $7,258.04	Facility		$4,610.68	$6,291.80	$7,258.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,494.14 / $6,291.80 / $8,988.28	Professional		$4,494.14	$6,291.80	$8,988.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,950.06 / $4,950.06 / $5,980.30	Professional		$4,950.06	$4,950.06	$5,980.30
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 $3,992.44 / $6,089.51 / $9,819.66	Professional		$3,992.44	$6,089.51	$9,819.66