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 $2,427.62 / $2,776.35 / $3,259.27	Professional		$2,427.62	$2,776.35	$3,259.27
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 $2,268.36 / $2,744.93 / $3,971.60	Professional		$2,268.36	$2,744.93	$3,971.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,617.73 / $3,946.19 / $4,552.21	Facility		$2,617.73	$3,946.19	$4,552.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,998.53 / $3,946.19 / $5,637.42	Professional		$2,998.53	$3,946.19	$5,637.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $3,467.87 / $3,895.60	Facility		$3,467.87	$3,467.87	$3,895.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,976.84 / $4,091.13 / $5,810.86	Professional		$2,976.84	$4,091.13	$5,810.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,664.32	Professional		$32.34	$32.34	$3,664.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $3,747.59 / $5,254.47	Professional		$2,841.00	$3,747.59	$5,254.47