Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,863.57 / $8,229.00	Facility		$860.00	$2,863.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,863.57 / $2,914.46 / $3,524.39	Professional		$2,863.57	$2,914.46	$3,524.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,168.91 / $2,692.87 / $3,918.18	Professional		$2,168.91	$2,692.87	$3,918.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,765.52 / $3,763.80 / $4,341.82	Facility		$2,765.52	$3,763.80	$4,341.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,091.69 / $3,763.80 / $6,048.97	Professional		$3,091.69	$3,763.80	$6,048.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,167.26 / $3,288.87 / $3,288.87	Professional		$3,167.26	$3,288.87	$3,288.87
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 $2,502.98 / $3,806.43 / $5,595.12	Professional		$2,502.98	$3,806.43	$5,595.12