Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.90 / $2,539.16 / $3,133.80	Professional		$2,132.90	$2,539.16	$3,133.80
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 $2,144.23 / $2,598.32 / $4,106.64	Professional		$2,144.23	$2,598.32	$4,106.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,899.44 / $3,914.78 / $4,515.97	Facility		$2,899.44	$3,914.78	$4,515.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,733.35 / $3,914.78 / $5,592.54	Professional		$2,733.35	$3,914.78	$5,592.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.03 / $3,453.08 / $3,453.08	Facility		$3,453.03	$3,453.08	$3,453.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,877.57 / $3,688.13 / $5,666.88	Professional		$2,877.57	$3,688.13	$5,666.88
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 $2,594.78 / $3,625.78 / $5,161.50	Professional		$2,594.78	$3,625.78	$5,161.50