Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,404.78 / $8,229.00	Facility		$860.00	$2,404.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,080.16 / $2,146.13 / $2,560.19	Professional		$2,080.16	$2,146.13	$2,560.19
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 $1,882.45 / $2,287.32 / $3,012.09	Professional		$1,882.45	$2,287.32	$3,012.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,985.70 / $2,725.48 / $3,144.03	Facility		$1,985.70	$2,725.48	$3,144.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,141.44 / $2,725.48 / $3,893.54	Professional		$2,141.44	$2,725.48	$3,893.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,024.85 / $2,390.84 / $2,390.84	Facility		$2,024.85	$2,390.84	$2,390.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.69 / $2,938.15 / $4,566.51	Professional		$2,048.69	$2,938.15	$4,566.51
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 $1,931.04 / $2,816.42 / $4,147.59	Professional		$1,931.04	$2,816.42	$4,147.59