Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,649.43 / $8,229.00	Facility		$860.00	$2,649.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,145.44 / $2,468.52 / $3,161.33	Professional		$2,145.44	$2,468.52	$3,161.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.02 / $2,287.89 / $3,122.32	Professional		$1,922.02	$2,287.89	$3,122.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,027.46 / $2,782.78 / $3,210.15	Facility		$2,027.46	$2,782.78	$3,210.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,987.70 / $2,782.78 / $3,975.40	Professional		$1,987.70	$2,782.78	$3,975.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,501.80 / $2,501.80 / $3,161.59	Facility		$2,501.80	$2,501.80	$3,161.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $3,188.91 / $5,032.92	Professional		$2,572.50	$3,188.91	$5,032.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $2,229.91 / $3,178.65 / $4,682.09	Professional		$2,229.91	$3,178.65	$4,682.09