Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,303.29 / $8,229.00	Facility		$860.00	$2,303.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.43 / $2,103.94 / $2,686.68	Professional		$1,827.43	$2,103.94	$2,686.68
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 $1,775.16 / $2,088.42 / $2,912.52	Professional		$1,775.16	$2,088.42	$2,912.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,769.00 / $2,428.05 / $2,800.92	Facility		$1,769.00	$2,428.05	$2,800.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,695.30 / $2,428.05 / $3,468.64	Professional		$1,695.30	$2,428.05	$3,468.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,138.77 / $2,138.77 / $2,748.53	Facility		$2,138.77	$2,138.77	$2,748.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,247.63 / $2,699.61 / $4,473.68	Professional		$2,247.63	$2,699.61	$4,473.68
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 $1,905.61 / $3,159.76 / $3,964.55	Professional		$1,905.61	$3,159.76	$3,964.55