Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,710.82 / $8,229.00	Facility		$860.00	$2,710.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,542.78 / $2,802.39 / $3,413.97	Professional		$2,542.78	$2,802.39	$3,413.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,222.61 / $2,709.11 / $3,993.05	Professional		$2,222.61	$2,709.11	$3,993.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,768.14 / $3,799.40 / $4,382.88	Facility		$2,768.14	$3,799.40	$4,382.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,652.80 / $3,799.40 / $5,427.72	Professional		$2,652.80	$3,799.40	$5,427.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.80 / $3,332.00 / $3,332.00	Facility		$2,517.80	$3,332.00	$3,332.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,776.67 / $3,718.37 / $5,799.48	Professional		$2,776.67	$3,718.37	$5,799.48
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 $2,458.19 / $3,880.91 / $5,732.95	Professional		$2,458.19	$3,880.91	$5,732.95