Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,362.27 / $8,229.00	Facility		$860.00	$2,362.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,362.27 / $2,693.30 / $3,469.69	Professional		$2,362.27	$2,693.30	$3,469.69
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 $2,240.69 / $2,677.40 / $3,638.03	Professional		$2,240.69	$2,677.40	$3,638.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,298.96 / $3,136.98 / $3,618.74	Facility		$2,298.96	$3,136.98	$3,618.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,190.28 / $3,136.98 / $4,481.39	Professional		$2,190.28	$3,136.98	$4,481.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.74 / $2,762.74 / $2,762.74	Facility		$2,762.74	$2,762.74	$2,762.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,837.19 / $3,491.67 / $5,722.91	Professional		$2,837.19	$3,491.67	$5,722.91
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 $2,437.33 / $3,492.26 / $5,178.00	Professional		$2,437.33	$3,492.26	$5,178.00