Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,227.73 / $8,229.00	Facility		$860.00	$2,227.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.53 / $1,980.17 / $2,253.82	Professional		$1,742.53	$1,980.17	$2,253.82
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 $1,717.29 / $2,080.96 / $2,930.70	Professional		$1,717.29	$2,080.96	$2,930.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,099.76 / $2,835.29 / $3,270.72	Facility		$2,099.76	$2,835.29	$3,270.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,160.87 / $2,835.29 / $4,050.42	Professional		$2,160.87	$2,835.29	$4,050.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.65 / $2,490.65 / $2,837.48	Facility		$2,490.65	$2,490.65	$2,837.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,118.55 / $2,880.03 / $4,296.26	Professional		$2,118.55	$2,880.03	$4,296.26
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 $2,108.19 / $2,837.39 / $4,161.07	Professional		$2,108.19	$2,837.39	$4,161.07