Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,014.42 / $8,229.00	Facility		$860.00	$2,014.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.42 / $2,298.71 / $2,960.37	Professional		$2,014.42	$2,298.71	$2,960.37
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 $1,947.48 / $2,291.16 / $3,085.80	Professional		$1,947.48	$2,291.16	$3,085.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,961.43 / $2,676.27 / $3,087.27	Facility		$1,961.43	$2,676.27	$3,087.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,868.61 / $2,676.27 / $3,823.24	Professional		$1,868.61	$2,676.27	$3,823.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,357.76 / $2,357.76 / $2,357.76	Facility		$2,357.76	$2,357.76	$2,357.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,478.98 / $2,977.98 / $4,744.16	Professional		$2,478.98	$2,977.98	$4,744.16
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 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,078.36 / $3,016.41 / $4,374.22	Professional		$2,078.36	$3,016.41	$4,374.22