Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,236.30 / $8,229.00	Facility		$860.00	$2,236.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.11 / $1,987.58 / $2,260.53	Professional		$1,747.11	$1,987.58	$2,260.53
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 $1,747.75 / $2,117.87 / $2,939.44	Professional		$1,747.75	$2,117.87	$2,939.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,107.84 / $2,846.20 / $3,283.30	Facility		$2,107.84	$2,846.20	$3,283.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,170.05 / $2,846.20 / $4,066.00	Professional		$2,170.05	$2,846.20	$4,066.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,499.94 / $2,499.94 / $2,823.04	Facility		$2,499.94	$2,499.94	$2,823.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,126.96 / $2,939.02 / $4,385.49	Professional		$2,126.96	$2,939.02	$4,385.49
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 $2,145.58 / $2,926.93 / $3,849.42	Professional		$2,145.58	$2,926.93	$3,849.42