Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,135.54 / $8,229.00	Facility		$860.00	$2,135.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,671.09 / $1,899.04 / $2,164.37	Professional		$1,671.09	$1,899.04	$2,164.37
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 $1,677.39 / $2,032.61 / $2,810.01	Professional		$1,677.39	$2,032.61	$2,810.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,012.82 / $2,717.96 / $3,135.36	Facility		$2,012.82	$2,717.96	$3,135.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,135.54 / $2,717.96 / $3,882.80	Professional		$2,135.54	$2,717.96	$3,882.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.59 / $2,388.59 / $2,674.93	Facility		$2,388.59	$2,388.59	$2,674.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,038.31 / $2,753.13 / $4,201.71	Professional		$2,038.31	$2,753.13	$4,201.71
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 $1,866.17 / $2,687.10 / $3,986.65	Professional		$1,866.17	$2,687.10	$3,986.65