Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,151.23 / $8,229.00	Facility		$860.00	$2,151.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.12 / $1,929.36 / $2,300.44	Professional		$1,869.12	$1,929.36	$2,300.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,676.57 / $2,053.85 / $2,698.54	Professional		$1,676.57	$2,053.85	$2,698.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,785.44 / $2,450.29 / $2,826.59	Facility		$1,785.44	$2,450.29	$2,826.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,710.83 / $2,450.29 / $3,500.42	Professional		$1,710.83	$2,450.29	$3,500.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.36 / $2,149.48 / $2,149.48	Facility		$1,811.36	$2,149.48	$2,149.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,839.51 / $2,545.55 / $4,099.70	Professional		$1,839.51	$2,545.55	$4,099.70
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 $1,733.94 / $2,600.91 / $3,814.55	Professional		$1,733.94	$2,600.91	$3,814.55