Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,294.42 / $8,229.00	Facility		$860.00	$2,294.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,795.81 / $2,040.83 / $2,326.30	Professional		$1,795.81	$2,040.83	$2,326.30
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 $1,803.48 / $2,185.39 / $3,024.83	Professional		$1,803.48	$2,185.39	$3,024.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,162.48 / $2,920.18 / $3,368.62	Facility		$2,162.48	$2,920.18	$3,368.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,224.41 / $2,920.18 / $4,171.68	Professional		$2,224.41	$2,920.18	$4,171.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,566.98 / $2,566.98 / $2,566.98	Facility		$2,566.98	$2,566.98	$2,566.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.86 / $2,994.24 / $4,528.37	Professional		$2,202.86	$2,994.24	$4,528.37
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 $2,101.51 / $2,815.99 / $4,264.38	Professional		$2,101.51	$2,815.99	$4,264.38