Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,374.56 / $8,229.00	Facility		$860.00	$2,374.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,039.45 / $2,317.64 / $2,593.71	Professional		$2,039.45	$2,317.64	$2,593.71
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 $1,764.88 / $2,138.62 / $3,357.07	Professional		$1,764.88	$2,138.62	$3,357.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,416.56 / $3,316.85 / $3,826.22	Facility		$2,416.56	$3,316.85	$3,826.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,628.24 / $3,316.85 / $4,738.35	Professional		$2,628.24	$3,316.85	$4,738.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,915.15 / $2,915.15 / $2,934.70	Facility		$2,915.15	$2,915.15	$2,934.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,362.92 / $3,004.63 / $4,449.67	Professional		$2,362.92	$3,004.63	$4,449.67
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 $2,205.54 / $2,955.00 / $4,402.08	Professional		$2,205.54	$2,955.00	$4,402.08