Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,503.46 / $8,229.00	Facility		$860.00	$2,503.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,244.31 / $2,535.94 / $2,932.34	Professional		$2,244.31	$2,535.94	$2,932.34
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 $1,998.81 / $2,422.10 / $3,749.25	Professional		$1,998.81	$2,422.10	$3,749.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,675.21 / $3,611.71 / $4,166.35	Facility		$2,675.21	$3,611.71	$4,166.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,966.76 / $3,611.71 / $5,159.58	Professional		$2,966.76	$3,611.71	$5,159.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,094.03 / $3,189.20 / $3,189.20	Facility		$3,094.03	$3,189.20	$3,189.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,576.19 / $3,229.90 / $4,908.68	Professional		$2,576.19	$3,229.90	$4,908.68
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 $2,459.69 / $3,702.52 / $4,824.09	Professional		$2,459.69	$3,702.52	$4,824.09