Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,456.54 / $8,229.00	Facility		$860.00	$2,456.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.61 / $2,168.36 / $2,528.71	Professional		$1,959.61	$2,168.36	$2,528.71
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 $2,108.61 / $2,555.14 / $3,449.01	Professional		$2,108.61	$2,555.14	$3,449.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,285.92 / $3,126.51 / $3,606.66	Facility		$2,285.92	$3,126.51	$3,606.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,524.21 / $3,126.51 / $4,466.43	Professional		$2,524.21	$3,126.51	$4,466.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.82 / $2,762.82 / $3,328.86	Facility		$2,762.82	$2,762.82	$3,328.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,514.52 / $3,347.67 / $5,315.10	Professional		$2,514.52	$3,347.67	$5,315.10
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 $2,389.87 / $3,235.73 / $4,712.76	Professional		$2,389.87	$3,235.73	$4,712.76