Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,130.82 / $8,229.00	Facility		$787.00	$2,130.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.82 / $2,600.90 / $3,262.14	Professional		$2,130.82	$2,600.90	$3,262.14
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 $3,099.48 / $3,815.86 / $5,063.63	Professional		$3,099.48	$3,815.86	$5,063.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,957.01 / $2,686.10 / $3,098.60	Facility		$1,957.01	$2,686.10	$3,098.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,875.47 / $2,690.89 / $4,047.58	Professional		$1,875.47	$2,690.89	$4,047.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,661.04 / $2,661.04 / $2,661.04	Facility		$2,661.04	$2,661.04	$2,661.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.53 / $2,905.91 / $11,786.83	Professional		$2,217.53	$2,905.91	$11,786.83
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 $1,596.88 / $2,464.01 / $3,150.42	Professional		$1,596.88	$2,464.01	$3,150.42