Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,369.23 / $8,229.00	Facility		$860.00	$2,369.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,861.01 / $2,122.96 / $2,554.33	Professional		$1,861.01	$2,122.96	$2,554.33
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 $1,745.38 / $2,077.62 / $2,844.40	Professional		$1,745.38	$2,077.62	$2,844.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.02 / $2,479.86 / $2,860.70	Facility		$1,818.02	$2,479.86	$2,860.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,731.48 / $2,479.86 / $3,542.66	Professional		$1,731.48	$2,479.86	$3,542.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,177.08 / $2,177.08 / $2,827.21	Facility		$2,177.08	$2,177.08	$2,827.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,193.90 / $2,699.84 / $4,295.82	Professional		$2,193.90	$2,699.84	$4,295.82
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 $1,880.89 / $2,678.34 / $3,917.72	Professional		$1,880.89	$2,678.34	$3,917.72