Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,364.67 / $8,229.00	Facility		$860.00	$2,364.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.25 / $2,171.03 / $2,770.72	Professional		$1,885.25	$2,171.03	$2,770.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.61 / $1,799.00 / $2,807.57	Professional		$1,484.61	$1,799.00	$2,807.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,835.30 / $2,504.07 / $2,888.63	Facility		$1,835.30	$2,504.07	$2,888.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,788.62 / $2,504.07 / $4,024.40	Professional		$1,788.62	$2,504.07	$4,024.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,205.46 / $2,205.46 / $2,821.78	Facility		$2,205.46	$2,205.46	$2,821.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.83 / $2,849.95 / $4,522.78	Professional		$2,018.83	$2,849.95	$4,522.78
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 $1,988.88 / $3,238.98 / $4,087.05	Professional		$1,988.88	$3,238.98	$4,087.05