Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,564.56 / $8,229.00	Facility		$860.00	$2,564.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,007.59 / $2,280.21 / $2,598.25	Professional		$2,007.59	$2,280.21	$2,598.25
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 $1,914.40 / $2,319.81 / $3,386.10	Professional		$1,914.40	$2,319.81	$3,386.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,417.15 / $3,263.99 / $3,765.25	Facility		$2,417.15	$3,263.99	$3,765.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,483.09 / $3,263.99 / $4,662.84	Professional		$2,483.09	$3,263.99	$4,662.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,868.14 / $2,868.14 / $3,271.31	Facility		$2,868.14	$2,868.14	$3,271.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,390.12 / $3,288.38 / $4,832.47	Professional		$2,390.12	$3,288.38	$4,832.47
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 $2,347.08 / $3,103.39 / $4,804.39	Professional		$2,347.08	$3,103.39	$4,804.39