Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,150.44 / $8,229.00	Facility		$860.00	$2,150.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.44 / $2,457.13 / $3,206.73	Professional		$2,150.44	$2,457.13	$3,206.73
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 $1,233.74 / $1,750.81 / $2,879.21	Professional		$1,233.74	$1,750.81	$2,879.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,102.44 / $2,862.12 / $3,301.65	Facility		$2,102.44	$2,862.12	$3,301.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,228.32 / $2,862.12 / $4,088.74	Professional		$2,228.32	$2,862.12	$4,088.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.06 / $2,514.66 / $2,514.66	Facility		$1,392.06	$2,514.66	$2,514.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.92 / $2,312.69 / $4,083.23	Professional		$1,595.92	$2,312.69	$4,083.23
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 $1,557.76 / $2,304.91 / $4,379.28	Professional		$1,557.76	$2,304.91	$4,379.28