Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,142.40 / $8,229.00	Facility		$860.00	$2,142.40	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.28 / $1,870.03 / $2,388.88	Professional		$1,624.28	$1,870.03	$2,388.88
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 $1,199.85 / $1,453.95 / $2,385.92	Professional		$1,199.85	$1,453.95	$2,385.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,581.52 / $2,157.71 / $2,489.08	Facility		$1,581.52	$2,157.71	$2,489.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,506.54 / $2,157.71 / $3,082.44	Professional		$1,506.54	$2,157.71	$3,082.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.91 / $1,899.91 / $2,556.54	Facility		$1,899.91	$1,899.91	$2,556.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.14 / $2,322.92 / $3,822.33	Professional		$1,711.14	$2,322.92	$3,822.33
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 $1,694.52 / $2,509.71 / $3,525.98	Professional		$1,694.52	$2,509.71	$3,525.98