Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,614.13 / $8,229.00	Facility		$860.00	$2,614.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,045.45 / $2,324.48 / $2,649.60	Professional		$2,045.45	$2,324.48	$2,649.60
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 $2,025.62 / $2,454.62 / $3,445.14	Professional		$2,025.62	$2,454.62	$3,445.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,463.84 / $3,327.07 / $3,838.02	Facility		$2,463.84	$3,327.07	$3,838.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,533.90 / $3,327.07 / $4,752.96	Professional		$2,533.90	$3,327.07	$4,752.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,923.81 / $2,923.81 / $2,923.81	Facility		$2,923.81	$2,923.81	$2,923.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.66 / $3,298.52 / $5,104.01	Professional		$2,484.66	$3,298.52	$5,104.01
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 $2,342.04 / $3,380.67 / $4,900.76	Professional		$2,342.04	$3,380.67	$4,900.76