Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,639.22 / $8,229.00	Facility		$860.00	$2,639.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,065.91 / $2,346.55 / $2,674.09	Professional		$2,065.91	$2,346.55	$2,674.09
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 $2,102.48 / $2,547.73 / $3,476.79	Professional		$2,102.48	$2,547.73	$3,476.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,487.51 / $3,359.01 / $3,874.86	Facility		$2,487.51	$3,359.01	$3,874.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,661.64 / $3,359.01 / $4,798.58	Professional		$2,661.64	$3,359.01	$4,798.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.60 / $2,951.60 / $3,411.35	Facility		$2,951.60	$2,951.60	$3,411.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,563.36 / $3,496.98 / $5,262.17	Professional		$2,563.36	$3,496.98	$5,262.17
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 $2,416.56 / $3,399.68 / $4,947.47	Professional		$2,416.56	$3,399.68	$4,947.47