Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,465.46 / $8,229.00	Facility		$860.00	$2,465.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,928.76 / $2,191.51 / $2,494.91	Professional		$1,928.76	$2,191.51	$2,494.91
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 $1,957.99 / $2,372.63 / $3,267.60	Professional		$1,957.99	$2,372.63	$3,267.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,323.79 / $3,137.86 / $3,619.75	Facility		$2,323.79	$3,137.86	$3,619.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,577.53 / $3,137.86 / $4,482.66	Professional		$2,577.53	$3,137.86	$4,482.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.52 / $2,756.52 / $3,213.01	Facility		$2,756.52	$2,756.52	$3,213.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,388.41 / $3,197.84 / $4,898.49	Professional		$2,388.41	$3,197.84	$4,898.49
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 $2,156.05 / $3,028.07 / $4,608.81	Professional		$2,156.05	$3,028.07	$4,608.81