Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,773.12 / $8,229.00	Facility		$787.00	$1,773.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.12 / $2,021.65 / $2,714.58	Professional		$1,773.12	$2,021.65	$2,714.58
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 $1,460.57 / $1,771.18 / $2,378.27	Professional		$1,460.57	$1,771.18	$2,378.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,687.46 / $2,316.13 / $2,671.82	Facility		$1,687.46	$2,316.13	$2,671.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,617.16 / $2,316.13 / $3,308.76	Professional		$1,617.16	$2,316.13	$3,308.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.40 / $2,068.40 / $2,068.40	Facility		$2,068.40	$2,068.40	$2,068.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.67 / $2,407.98 / $9,198.68	Professional		$1,723.67	$2,407.98	$9,198.68
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 $1,472.05 / $2,150.90 / $2,872.58	Professional		$1,472.05	$2,150.90	$2,872.58