Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,066.35 / $8,229.00	Facility		$860.00	$2,066.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.35 / $2,361.81 / $3,081.53	Professional		$2,066.35	$2,361.81	$3,081.53
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 $1,393.68 / $1,684.39 / $2,746.79	Professional		$1,393.68	$1,684.39	$2,746.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,004.66 / $2,751.49 / $3,174.05	Facility		$2,004.66	$2,751.49	$3,174.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,142.19 / $2,751.49 / $3,930.70	Professional		$2,142.19	$2,751.49	$3,930.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,589.44 / $2,417.06 / $2,417.06	Facility		$1,589.44	$2,417.06	$2,417.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.19 / $2,530.67 / $3,928.54	Professional		$1,759.19	$2,530.67	$3,928.54
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 $1,719.08 / $2,528.02 / $4,209.84	Professional		$1,719.08	$2,528.02	$4,209.84