Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,052.48 / $8,229.00	Facility		$860.00	$2,052.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.59 / $1,954.97 / $2,188.34	Professional		$1,720.59	$1,954.97	$2,188.34
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 $1,523.20 / $1,845.76 / $2,850.19	Professional		$1,523.20	$1,845.76	$2,850.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,072.85 / $2,799.02 / $3,228.88	Facility		$2,072.85	$2,799.02	$3,228.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,299.19 / $2,799.02 / $3,998.60	Professional		$2,299.19	$2,799.02	$3,998.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,459.02 / $2,459.02 / $2,536.65	Facility		$2,459.02	$2,459.02	$2,536.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.17 / $2,628.68 / $4,002.87	Professional		$2,049.17	$2,628.68	$4,002.87
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 $1,923.91 / $2,552.32 / $4,117.22	Professional		$1,923.91	$2,552.32	$4,117.22