Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,102.73 / $8,229.00	Facility		$860.00	$2,102.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.54 / $1,907.36 / $2,247.19	Professional		$1,666.54	$1,907.36	$2,247.19
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 $1,551.73 / $1,948.82 / $2,713.43	Professional		$1,551.73	$1,948.82	$2,713.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,803.07 / $2,710.67 / $3,126.94	Facility		$1,803.07	$2,710.67	$3,126.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,067.42 / $2,613.86 / $3,872.38	Professional		$2,067.42	$2,613.86	$3,872.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,598.78	Facility		$2,381.78	$2,381.78	$2,598.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.88 / $2,800.28 / $3,972.52	Professional		$2,045.88	$2,800.28	$3,972.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,517.05	Professional		$32.34	$32.34	$2,517.05
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 $1,949.17 / $2,586.30 / $3,584.35	Professional		$1,949.17	$2,586.30	$3,584.35