Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $5,512.70 / $8,229.00	Facility		$860.00	$5,512.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,181.93 / $5,512.70 / $5,842.37	Professional		$5,181.93	$5,512.70	$5,842.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,976.11 / $4,873.47 / $8,012.31	Professional		$3,976.11	$4,873.47	$8,012.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,465.84 / $7,452.44 / $8,596.91	Facility		$5,465.84	$7,452.44	$8,596.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,203.39 / $7,452.44 / $10,646.34	Professional		$5,203.39	$7,452.44	$10,646.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,564.29 / $6,564.29 / $7,159.11	Facility		$6,564.29	$6,564.29	$7,159.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,223.34 / $7,871.63 / $12,214.67	Professional		$5,223.34	$7,871.63	$12,214.67
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 $4,952.14 / $6,685.39 / $10,392.24	Professional		$4,952.14	$6,685.39	$10,392.24