Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,375.66 / $2,828.17 / $3,282.76	Professional		$2,375.66	$2,828.17	$3,282.76
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 $2,203.34 / $2,601.42 / $3,886.89	Professional		$2,203.34	$2,601.42	$3,886.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,560.02 / $3,861.19 / $4,454.14	Facility		$2,560.02	$3,861.19	$4,454.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,033.79 / $3,723.29 / $5,515.98	Professional		$3,033.79	$3,723.29	$5,515.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,393.22 / $3,393.22 / $3,855.67	Facility		$3,393.22	$3,393.22	$3,855.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,827.68 / $3,945.02 / $5,717.14	Professional		$2,827.68	$3,945.02	$5,717.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,585.39	Professional		$32.34	$32.34	$3,585.39
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 $2,871.43 / $3,707.05 / $5,330.65	Professional		$2,871.43	$3,707.05	$5,330.65