Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,935.73 / $8,229.00	Facility		$787.00	$1,935.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.73 / $2,207.19 / $2,963.49	Professional		$1,935.73	$2,207.19	$2,963.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.72 / $3,451.16 / $4,604.97	Professional		$2,818.72	$3,451.16	$4,604.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.30 / $2,564.34 / $2,958.15	Facility		$1,868.30	$2,564.34	$2,958.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,790.46 / $2,564.34 / $3,663.34	Professional		$1,790.46	$2,564.34	$3,663.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,369.92 / $2,369.92 / $2,369.92	Facility		$2,369.92	$2,369.92	$2,369.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.85 / $2,785.01 / $9,931.46	Professional		$1,881.85	$2,785.01	$9,931.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
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 $1,717.26 / $2,620.21 / $3,153.05	Professional		$1,717.26	$2,620.21	$3,153.05