Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,663.87 / $8,229.00	Facility		$860.00	$2,663.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.17 / $2,368.27 / $2,699.58	Professional		$2,085.17	$2,368.27	$2,699.58
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 $2,093.48 / $2,536.81 / $3,509.86	Professional		$2,093.48	$2,536.81	$3,509.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.73 / $3,390.38 / $3,911.06	Facility		$2,510.73	$3,390.38	$3,911.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,784.96 / $3,390.38 / $4,843.39	Professional		$2,784.96	$3,390.38	$4,843.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,978.93 / $2,978.93 / $3,384.23	Facility		$2,978.93	$2,978.93	$3,384.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,535.35 / $3,482.85 / $5,242.81	Professional		$2,535.35	$3,482.85	$5,242.81
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 $2,438.94 / $3,234.36 / $4,993.46	Professional		$2,438.94	$3,234.36	$4,993.46