Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,093.88 / $8,229.00	Facility		$860.00	$2,093.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.88 / $2,392.44 / $3,122.60	Professional		$2,093.88	$2,392.44	$3,122.60
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 $1,406.60 / $1,708.00 / $2,803.02	Professional		$1,406.60	$1,708.00	$2,803.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.86 / $2,787.46 / $3,215.52	Facility		$2,030.86	$2,787.46	$3,215.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,946.24 / $2,787.46 / $3,982.08	Professional		$1,946.24	$2,787.46	$3,982.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.33 / $2,448.42 / $2,448.42	Facility		$1,673.33	$2,448.42	$2,448.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.59 / $2,560.96 / $3,974.39	Professional		$1,748.59	$2,560.96	$3,974.39
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 $1,779.23 / $2,614.56 / $4,263.22	Professional		$1,779.23	$2,614.56	$4,263.22