Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,241.61 / $8,229.00	Facility		$860.00	$2,241.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,753.54 / $1,993.13 / $2,264.00	Professional		$1,753.54	$1,993.13	$2,264.00
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 $1,757.37 / $2,129.53 / $2,950.48	Professional		$1,757.37	$2,129.53	$2,950.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,112.78 / $2,852.96 / $3,291.10	Facility		$2,112.78	$2,852.96	$3,291.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,174.44 / $2,852.96 / $4,075.66	Professional		$2,174.44	$2,852.96	$4,075.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,506.98 / $2,506.98 / $2,798.07	Facility		$2,506.98	$2,506.98	$2,798.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,158.52 / $2,903.48 / $4,399.63	Professional		$2,158.52	$2,903.48	$4,399.63
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 $2,157.40 / $2,875.36 / $4,189.07	Professional		$2,157.40	$2,875.36	$4,189.07