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 $1,832.04 / $2,109.50 / $2,693.09	Professional		$1,832.04	$2,109.50	$2,693.09
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 $1,757.48 / $2,116.26 / $2,844.40	Professional		$1,757.48	$2,116.26	$2,844.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,784.42 / $2,434.59 / $2,808.47	Facility		$1,784.42	$2,434.59	$2,808.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,699.86 / $2,434.59 / $3,477.98	Professional		$1,699.86	$2,434.59	$3,477.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,143.44 / $2,143.44 / $2,827.21	Facility		$2,143.44	$2,143.44	$2,827.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.44 / $2,699.84 / $4,311.30	Professional		$2,187.44	$2,699.84	$4,311.30
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 $1,903.07 / $3,161.69 / $3,967.01	Professional		$1,903.07	$3,161.69	$3,967.01