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 $2,277.01 / $2,586.23 / $2,947.42	Professional		$2,277.01	$2,586.23	$2,947.42
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 $2,101.14 / $2,546.09 / $3,851.11	Professional		$2,101.14	$2,546.09	$3,851.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,741.44 / $3,701.96 / $4,270.47	Facility		$2,741.44	$3,701.96	$4,270.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,933.34 / $3,701.96 / $5,288.52	Professional		$2,933.34	$3,701.96	$5,288.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,253.12 / $3,253.12 / $3,785.59	Facility		$3,253.12	$3,253.12	$3,785.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.83 / $3,894.33 / $5,819.67	Professional		$2,802.83	$3,894.33	$5,819.67
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 $2,707.31 / $3,763.68 / $5,459.26	Professional		$2,707.31	$3,763.68	$5,459.26