Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,176.44 / $8,229.00	Facility		$860.00	$2,176.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.95 / $1,935.24 / $2,203.76	Professional		$1,702.95	$1,935.24	$2,203.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,710.76 / $2,073.05 / $2,865.67	Professional		$1,710.76	$2,073.05	$2,865.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,051.38 / $2,770.03 / $3,195.42	Facility		$2,051.38	$2,770.03	$3,195.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,770.03 / $3,957.18	Professional		$2,112.00	$2,770.03	$3,957.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.15 / $2,434.15 / $2,691.11	Facility		$2,434.15	$2,434.15	$2,691.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.19 / $2,798.60 / $4,287.68	Professional		$2,069.19	$2,798.60	$4,287.68
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 $1,989.90 / $2,651.34 / $4,038.54	Professional		$1,989.90	$2,651.34	$4,038.54