Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,458.17 / $8,229.00	Facility		$860.00	$2,458.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,921.96 / $2,184.48 / $2,483.83	Professional		$1,921.96	$2,184.48	$2,483.83
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 $1,693.12 / $2,067.77 / $3,228.03	Professional		$1,693.12	$2,067.77	$3,228.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,317.00 / $3,128.59 / $3,609.05	Facility		$2,317.00	$3,128.59	$3,609.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,479.19 / $3,128.59 / $4,469.42	Professional		$2,479.19	$3,128.59	$4,469.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,747.63 / $2,747.63 / $3,151.18	Facility		$2,747.63	$2,747.63	$3,151.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,297.84 / $2,973.28 / $4,217.39	Professional		$2,297.84	$2,973.28	$4,217.39
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 $2,121.81 / $2,981.50 / $4,580.83	Professional		$2,121.81	$2,981.50	$4,580.83