Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,038.81 / $8,229.00	Facility		$860.00	$3,038.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,552.60 / $2,899.70 / $3,303.04	Professional		$2,552.60	$2,899.70	$3,303.04
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 $2,384.83 / $2,889.85 / $4,294.58	Professional		$2,384.83	$2,889.85	$4,294.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,073.59 / $4,150.45 / $4,787.85	Facility		$3,073.59	$4,150.45	$4,787.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,158.25 / $4,150.45 / $5,929.22	Professional		$3,158.25	$4,150.45	$5,929.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,647.35 / $3,647.35 / $4,187.60	Facility		$3,647.35	$3,647.35	$4,187.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,121.11 / $4,280.46 / $6,427.52	Professional		$3,121.11	$4,280.46	$6,427.52
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 $3,098.23 / $3,975.17 / $6,119.41	Professional		$3,098.23	$3,975.17	$6,119.41