Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,878.09 / $8,229.00	Facility		$787.00	$1,878.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,878.09 / $2,274.52 / $2,875.32	Professional		$1,878.09	$2,274.52	$2,875.32
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 $2,006.88 / $2,452.73 / $3,278.64	Professional		$2,006.88	$2,452.73	$3,278.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.41 / $2,504.10 / $2,888.65	Facility		$1,824.41	$2,504.10	$2,888.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,788.64 / $2,504.10 / $3,577.28	Professional		$1,788.64	$2,504.10	$3,577.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,327.11 / $2,327.11 / $2,327.11	Facility		$2,327.11	$2,327.11	$2,327.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,939.26 / $2,564.36 / $9,696.06	Professional		$1,939.26	$2,564.36	$9,696.06
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 $1,502.75 / $2,310.12 / $2,998.72	Professional		$1,502.75	$2,310.12	$2,998.72