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 $2,428.40 / $2,776.97 / $3,259.68	Professional		$2,428.40	$2,776.97	$3,259.68
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 $2,270.83 / $2,736.14 / $3,972.52	Professional		$2,270.83	$2,736.14	$3,972.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,618.06 / $3,946.64 / $4,552.74	Facility		$2,618.06	$3,946.64	$4,552.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,755.60 / $3,946.64 / $5,638.06	Professional		$2,755.60	$3,946.64	$5,638.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.26 / $3,468.26 / $3,915.46	Facility		$3,468.26	$3,468.26	$3,915.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,890.22 / $4,091.58 / $5,791.45	Professional		$2,890.22	$4,091.58	$5,791.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,664.74	Professional		$32.34	$32.34	$3,664.74
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 $2,794.95 / $3,797.15 / $5,358.74	Professional		$2,794.95	$3,797.15	$5,358.74