Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,118.61 / $8,229.00	Facility		$860.00	$2,118.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,118.61 / $2,416.60 / $3,112.96	Professional		$2,118.61	$2,416.60	$3,112.96
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 $2,010.21 / $2,400.81 / $3,237.10	Professional		$2,010.21	$2,400.81	$3,237.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,062.55 / $2,814.29 / $3,246.49	Facility		$2,062.55	$2,814.29	$3,246.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,964.98 / $2,814.29 / $4,522.97	Professional		$1,964.98	$2,814.29	$4,522.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.79 / $2,478.79 / $2,478.79	Facility		$2,478.79	$2,478.79	$2,478.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.23 / $3,132.21 / $4,976.77	Professional		$2,543.23	$3,132.21	$4,976.77
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 $2,186.02 / $3,131.49 / $4,601.28	Professional		$2,186.02	$3,131.49	$4,601.28