Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,157.85 / $8,229.00	Facility		$860.00	$2,157.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.50 / $1,918.93 / $2,183.32	Professional		$1,688.50	$1,918.93	$2,183.32
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 $1,651.06 / $2,000.70 / $2,839.11	Professional		$1,651.06	$2,000.70	$2,839.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,033.83 / $2,746.35 / $3,168.12	Facility		$2,033.83	$2,746.35	$3,168.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,094.40 / $2,746.35 / $3,923.36	Professional		$2,094.40	$2,746.35	$3,923.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,413.63 / $2,413.63 / $2,707.94	Facility		$2,413.63	$2,413.63	$2,707.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.84 / $2,811.36 / $4,149.12	Professional		$2,051.84	$2,811.36	$4,149.12
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 $1,970.80 / $2,709.42 / $4,030.49	Professional		$1,970.80	$2,709.42	$4,030.49