Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,638.27 / $8,229.00	Facility		$860.00	$2,638.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,171.48 / $2,400.91 / $2,969.60	Professional		$2,171.48	$2,400.91	$2,969.60
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 $2,112.59 / $2,559.96 / $3,885.29	Professional		$2,112.59	$2,559.96	$3,885.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,508.11 / $3,442.50 / $3,971.17	Facility		$2,508.11	$3,442.50	$3,971.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,458.92 / $3,442.50 / $4,917.85	Professional		$2,458.92	$3,442.50	$4,917.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,054.50 / $3,054.50 / $3,260.63	Facility		$3,054.50	$3,054.50	$3,260.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,673.88 / $3,611.68 / $5,603.63	Professional		$2,673.88	$3,611.68	$5,603.63
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 $2,571.28 / $3,651.47 / $5,424.99	Professional		$2,571.28	$3,651.47	$5,424.99