Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,258.09 / $8,229.00	Facility		$860.00	$2,258.09	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,258.09 / $2,574.65 / $3,317.72	Professional		$2,258.09	$2,574.65	$3,317.72
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 $2,142.39 / $2,559.31 / $3,458.57	Professional		$2,142.39	$2,559.31	$3,458.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,198.19 / $2,999.35 / $3,459.96	Facility		$2,198.19	$2,999.35	$3,459.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,142.39 / $2,999.35 / $4,284.78	Professional		$2,142.39	$2,999.35	$4,284.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,640.96 / $2,640.96 / $2,640.96	Facility		$2,640.96	$2,640.96	$2,640.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,716.60 / $3,312.70 / $5,317.27	Professional		$2,716.60	$3,312.70	$5,317.27
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 $2,366.89 / $3,328.73 / $4,903.16	Professional		$2,366.89	$3,328.73	$4,903.16