Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,256.94 / $8,229.00	Facility		$860.00	$2,256.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,256.94 / $2,578.65 / $3,364.59	Professional		$2,256.94	$2,578.65	$3,364.59
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 $1,313.04 / $1,837.25 / $2,999.10	Professional		$1,313.04	$1,837.25	$2,999.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,206.61 / $3,003.98 / $3,465.32	Facility		$2,206.61	$3,003.98	$3,465.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,097.42 / $3,003.98 / $4,291.39	Professional		$2,097.42	$3,003.98	$4,291.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.68 / $2,639.09 / $2,639.09	Facility		$1,485.68	$2,639.09	$2,639.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.38 / $2,482.07 / $4,279.50	Professional		$1,656.38	$2,482.07	$4,279.50
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 $1,622.61 / $2,493.86 / $4,598.76	Professional		$1,622.61	$2,493.86	$4,598.76