Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,567.46 / $8,229.00	Facility		$860.00	$2,567.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,275.12 / $2,571.64 / $2,954.97	Professional		$2,275.12	$2,571.64	$2,954.97
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 $2,077.87 / $2,517.90 / $3,869.50	Professional		$2,077.87	$2,517.90	$3,869.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,712.29 / $3,661.76 / $4,224.10	Facility		$2,712.29	$3,661.76	$4,224.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,826.83 / $3,661.76 / $5,231.08	Professional		$2,826.83	$3,661.76	$5,231.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,173.13 / $3,234.07 / $3,234.07	Facility		$3,173.13	$3,234.07	$3,234.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,692.80 / $3,483.81 / $5,254.79	Professional		$2,692.80	$3,483.81	$5,254.79
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 $2,550.84 / $3,591.68 / $5,754.30	Professional		$2,550.84	$3,591.68	$5,754.30