Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,725.14 / $8,229.00	Facility		$860.00	$3,725.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,218.11 / $3,652.55 / $4,089.04	Professional		$3,218.11	$3,652.55	$4,089.04
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 $3,072.75 / $3,723.45 / $5,422.16	Professional		$3,072.75	$3,723.45	$5,422.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,808.86 / $5,227.85 / $6,030.70	Facility		$3,808.86	$5,227.85	$6,030.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,107.60 / $5,227.85 / $7,468.36	Professional		$4,107.60	$5,227.85	$7,468.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,594.63 / $4,594.63 / $4,603.88	Facility		$4,594.63	$4,594.63	$4,603.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,899.90 / $5,239.80 / $7,841.66	Professional		$3,899.90	$5,239.80	$7,841.66
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 $3,625.51 / $5,018.83 / $7,600.51	Professional		$3,625.51	$5,018.83	$7,600.51