Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,987.89 / $8,229.00	Facility		$787.00	$1,987.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.89 / $2,422.71 / $3,043.34	Professional		$1,987.89	$2,422.71	$3,043.34
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 $2,553.17 / $3,134.30 / $4,171.13	Professional		$2,553.17	$3,134.30	$4,171.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,929.82 / $2,648.77 / $3,055.54	Facility		$1,929.82	$2,648.77	$3,055.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,082.69 / $2,648.77 / $3,783.96	Professional		$2,082.69	$2,648.77	$3,783.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.71 / $2,478.71 / $2,478.71	Facility		$2,478.71	$2,478.71	$2,478.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,065.60 / $2,714.85 / $10,904.33	Professional		$2,065.60	$2,714.85	$10,904.33
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 $1,636.96 / $2,471.50 / $3,084.38	Professional		$1,636.96	$2,471.50	$3,084.38