Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,678.28 / $8,229.00	Facility		$860.00	$2,678.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,095.42 / $2,494.56 / $2,901.58	Professional		$2,095.42	$2,494.56	$2,901.58
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 $2,027.52 / $2,479.71 / $3,446.40	Professional		$2,027.52	$2,479.71	$3,446.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,263.94 / $3,408.72 / $3,932.20	Facility		$2,263.94	$3,408.72	$3,932.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,380.02 / $3,187.15 / $4,869.60	Professional		$2,380.02	$3,187.15	$4,869.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $3,452.43	Facility		$2,995.12	$2,995.12	$3,452.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,571.23 / $3,534.06 / $5,031.18	Professional		$2,571.23	$3,534.06	$5,031.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,165.24	Professional		$32.34	$32.34	$3,165.24
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 $2,450.33 / $3,252.80 / $4,605.97	Professional		$2,450.33	$3,252.80	$4,605.97