Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,126.92 / $8,229.00	Facility		$860.00	$3,126.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,626.61 / $2,971.48 / $3,386.19	Professional		$2,626.61	$2,971.48	$3,386.19
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 $2,426.75 / $2,940.66 / $4,456.72	Professional		$2,426.75	$2,940.66	$4,456.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,137.99 / $4,237.03 / $4,887.71	Facility		$3,137.99	$4,237.03	$4,887.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,245.92 / $4,237.03 / $6,052.90	Professional		$3,245.92	$4,237.03	$6,052.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,737.35 / $3,737.35 / $3,905.04	Facility		$3,737.35	$3,737.35	$3,905.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.58 / $4,288.67 / $6,467.92	Professional		$3,181.58	$4,288.67	$6,467.92
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 $3,085.23 / $4,067.05 / $6,187.24	Professional		$3,085.23	$4,067.05	$6,187.24