Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,249.96 / $8,229.00	Facility		$787.00	$2,249.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.12 / $2,200.50 / $2,725.63	Professional		$1,999.12	$2,200.50	$2,725.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,754.23 / $2,125.71 / $3,053.78	Professional		$1,754.23	$2,125.71	$3,053.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,086.33 / $2,863.59 / $3,303.36	Facility		$2,086.33	$2,863.59	$3,303.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,239.27 / $2,863.59 / $4,090.84	Professional		$2,239.27	$2,863.59	$4,090.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.92 / $2,515.92 / $2,515.92	Facility		$2,515.92	$2,515.92	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.60 / $2,721.13 / $4,196.26	Professional		$2,096.60	$2,721.13	$4,196.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,249.96	Professional		$32.34	$32.34	$2,249.96
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,992.29 / $2,664.16 / $4,331.74	Professional		$1,992.29	$2,664.16	$4,331.74