Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $4,279.13 / $8,229.00	Facility		$860.00	$4,279.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,594.47 / $4,079.94 / $4,660.14	Professional		$3,594.47	$4,079.94	$4,660.14
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 $3,507.42 / $4,250.17 / $6,172.70	Professional		$3,507.42	$4,250.17	$6,172.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,253.68 / $5,838.38 / $6,734.99	Facility		$4,253.68	$5,838.38	$6,734.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,625.93 / $5,838.38 / $8,340.54	Professional		$4,625.93	$5,838.38	$8,340.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,132.20 / $5,132.20 / $6,159.95	Facility		$5,132.20	$5,132.20	$6,159.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,511.46 / $6,040.34 / $9,292.93	Professional		$4,511.46	$6,040.34	$9,292.93
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 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,321.18 / $5,701.30 / $8,412.12	Professional		$4,321.18	$5,701.30	$8,412.12