Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,108.06 / $8,229.00	Facility		$860.00	$2,108.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.63 / $1,896.78 / $2,423.31	Professional		$1,647.63	$1,896.78	$2,423.31
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 $1,393.32 / $1,688.38 / $2,383.89	Professional		$1,393.32	$1,688.38	$2,383.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,605.01 / $2,189.75 / $2,526.03	Facility		$1,605.01	$2,189.75	$2,526.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,717.36 / $2,189.75 / $3,128.22	Professional		$1,717.36	$2,189.75	$3,128.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,927.82 / $1,927.82 / $2,515.55	Facility		$1,927.82	$1,927.82	$2,515.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.81 / $2,433.84 / $3,882.84	Professional		$1,887.81	$2,433.84	$3,882.84
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 $1,736.51 / $2,519.59 / $3,604.11	Professional		$1,736.51	$2,519.59	$3,604.11