Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,923.03 / $8,229.00	Facility		$860.00	$2,923.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,616.07 / $2,955.74 / $3,379.25	Professional		$2,616.07	$2,955.74	$3,379.25
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 $2,319.16 / $2,810.28 / $4,430.70	Professional		$2,319.16	$2,810.28	$4,430.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,114.51 / $4,204.97 / $4,850.76	Facility		$3,114.51	$4,204.97	$4,850.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,240.96 / $4,204.97 / $6,007.12	Professional		$3,240.96	$4,204.97	$6,007.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,612.55 / $3,717.18 / $3,717.18	Facility		$3,612.55	$3,717.18	$3,717.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,097.65 / $4,078.31 / $6,096.02	Professional		$3,097.65	$4,078.31	$6,096.02
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 $2,962.49 / $4,263.02 / $6,045.40	Professional		$2,962.49	$4,263.02	$6,045.40