Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,229.21 / $8,229.00	Facility		$860.00	$2,229.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.69 / $1,982.95 / $2,259.00	Professional		$1,744.69	$1,982.95	$2,259.00
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 $1,794.48 / $2,174.48 / $2,963.22	Professional		$1,794.48	$2,174.48	$2,963.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,101.07 / $2,837.18 / $3,272.90	Facility		$2,101.07	$2,837.18	$3,272.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,248.14 / $2,837.18 / $4,053.12	Professional		$2,248.14	$2,837.18	$4,053.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,494.13 / $2,494.13 / $2,494.13	Facility		$2,494.13	$2,494.13	$2,494.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,175.07 / $2,898.53 / $4,487.62	Professional		$2,175.07	$2,898.53	$4,487.62
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 $2,095.34 / $2,870.94 / $4,140.32	Professional		$2,095.34	$2,870.94	$4,140.32