Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,478.00 / $8,229.00	Facility		$860.00	$3,478.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,921.52 / $3,316.54 / $3,990.07	Professional		$2,921.52	$3,316.54	$3,990.07
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 $2,795.07 / $3,386.97 / $4,965.47	Professional		$2,795.07	$3,386.97	$4,965.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,457.97 / $4,746.24 / $5,475.12	Facility		$3,457.97	$4,746.24	$5,475.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,598.18 / $4,746.24 / $6,780.34	Professional		$3,598.18	$4,746.24	$6,780.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,171.91 / $4,171.91 / $4,931.30	Facility		$4,171.91	$4,171.91	$4,931.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,643.92 / $4,888.96 / $7,471.71	Professional		$3,643.92	$4,888.96	$7,471.71
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 $3,561.41 / $4,824.14 / $7,466.25	Professional		$3,561.41	$4,824.14	$7,466.25