Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,735.04 / $8,229.00	Facility		$860.00	$3,735.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,702.24 / $4,201.43 / $4,701.58	Professional		$3,702.24	$4,201.43	$4,701.58
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 $3,080.73 / $3,733.12 / $6,156.18	Professional		$3,080.73	$3,733.12	$6,156.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,451.58 / $6,011.70 / $6,934.92	Facility		$4,451.58	$6,011.70	$6,934.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,552.95 / $6,011.70 / $8,588.14	Professional		$4,552.95	$6,011.70	$8,588.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,616.12 / $5,285.09 / $5,285.09	Facility		$4,616.12	$5,285.09	$5,285.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,066.58 / $5,922.68 / $8,897.61	Professional		$4,066.58	$5,922.68	$8,897.61
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 $4,170.72 / $5,772.68 / $8,238.65	Professional		$4,170.72	$5,772.68	$8,238.65