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 $1,492.61 / $1,837.04 / $3,031.47	Professional		$1,492.61	$1,837.04	$3,031.47
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 $1,695.14 / $2,639.09 / $2,639.09	Facility		$1,695.14	$2,639.09	$2,639.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.88 / $2,760.15 / $4,253.54	Professional		$1,911.88	$2,760.15	$4,253.54
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 $1,849.11 / $2,781.00 / $4,598.76	Professional		$1,849.11	$2,781.00	$4,598.76