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 $2,197.87 / $2,514.02 / $3,041.70	Professional		$2,197.87	$2,514.02	$3,041.70
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 $2,025.19 / $2,454.06 / $3,592.37	Professional		$2,025.19	$2,454.06	$3,592.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,372.73 / $3,573.86 / $4,122.72	Facility		$2,372.73	$3,573.86	$4,122.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,718.72 / $3,446.23 / $5,105.52	Professional		$2,718.72	$3,446.23	$5,105.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,140.83 / $3,140.83 / $3,511.17	Facility		$3,140.83	$3,140.83	$3,511.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,696.56 / $3,705.19 / $5,280.47	Professional		$2,696.56	$3,705.19	$5,280.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,318.59	Professional		$32.34	$32.34	$3,318.59
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 $2,412.78 / $3,427.84 / $4,767.03	Professional		$2,412.78	$3,427.84	$4,767.03