Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,005.64 / $8,229.00	Facility		$860.00	$2,005.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,005.64 / $2,260.07 / $2,623.25	Professional		$2,005.64	$2,260.07	$2,623.25
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 $1,641.58 / $1,959.06 / $3,253.30	Professional		$1,641.58	$1,959.06	$3,253.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,374.19 / $3,204.54 / $3,696.68	Facility		$2,374.19	$3,204.54	$3,696.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,237.46 / $3,204.54 / $4,577.92	Professional		$2,237.46	$3,204.54	$4,577.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,421.07 / $2,862.89 / $2,862.89	Facility		$2,421.07	$2,862.89	$2,862.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.03 / $2,925.16 / $4,428.81	Professional		$2,309.03	$2,925.16	$4,428.81
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 $2,133.65 / $2,909.87 / $4,658.97	Professional		$2,133.65	$2,909.87	$4,658.97