Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,417.62 / $8,229.00	Facility		$860.00	$2,417.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.32 / $2,149.33 / $2,449.04	Professional		$1,892.32	$2,149.33	$2,449.04
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 $1,905.03 / $2,308.46 / $3,184.34	Professional		$1,905.03	$2,308.46	$3,184.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,278.61 / $3,076.98 / $3,549.50	Facility		$2,278.61	$3,076.98	$3,549.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,438.11 / $3,076.98 / $4,395.68	Professional		$2,438.11	$3,076.98	$4,395.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.53 / $2,703.53 / $3,099.90	Facility		$2,703.53	$2,703.53	$3,099.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,321.12 / $3,174.69 / $4,768.13	Professional		$2,321.12	$3,174.69	$4,768.13
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 $2,215.91 / $3,053.24 / $4,479.24	Professional		$2,215.91	$3,053.24	$4,479.24