Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,296.51 / $8,229.00	Facility		$787.00	$2,296.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,232.17 / $2,561.76 / $3,304.65	Professional		$2,232.17	$2,561.76	$3,304.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,153.67 / $2,537.94 / $3,162.32	Professional		$2,153.67	$2,537.94	$3,162.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,140.71 / $2,922.84 / $3,371.70	Facility		$2,140.71	$2,922.84	$3,371.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,040.77 / $2,922.84 / $4,175.47	Professional		$2,040.77	$2,922.84	$4,175.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,572.06 / $2,572.06 / $2,572.06	Facility		$2,572.06	$2,572.06	$2,572.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.28 / $3,293.25 / $10,435.06	Professional		$2,167.28	$3,293.25	$10,435.06
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 $2,371.51 / $4,373.47 / $7,974.55	Professional		$2,371.51	$4,373.47	$7,974.55