Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,930.97 / $8,229.00	Facility		$860.00	$2,930.97	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,462.02 / $2,795.27 / $3,188.27	Professional		$2,462.02	$2,795.27	$3,188.27
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 $2,293.23 / $2,778.86 / $4,204.00	Professional		$2,293.23	$2,778.86	$4,204.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,961.48 / $3,999.25 / $4,613.43	Facility		$2,961.48	$3,999.25	$4,613.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,168.78 / $3,999.25 / $5,713.22	Professional		$3,168.78	$3,999.25	$5,713.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,516.10 / $3,516.10 / $4,170.63	Facility		$3,516.10	$3,516.10	$4,170.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,985.37 / $4,038.22 / $5,996.79	Professional		$2,985.37	$4,038.22	$5,996.79
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 $2,760.56 / $3,834.88 / $5,834.60	Professional		$2,760.56	$3,834.88	$5,834.60