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 $2,235.31 / $2,556.41 / $3,092.97	Professional		$2,235.31	$2,556.41	$3,092.97
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 $2,063.71 / $2,491.38 / $3,647.92	Professional		$2,063.71	$2,491.38	$3,647.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,412.56 / $3,634.50 / $4,192.64	Facility		$2,412.56	$3,634.50	$4,192.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,596.07 / $3,634.50 / $5,192.14	Professional		$2,596.07	$3,634.50	$5,192.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,585.91	Facility		$3,193.94	$3,193.94	$3,585.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,742.22 / $3,768.06 / $5,346.65	Professional		$2,742.22	$3,768.06	$5,346.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,374.89	Professional		$32.34	$32.34	$3,374.89
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 $2,578.39 / $3,519.91 / $5,024.52	Professional		$2,578.39	$3,519.91	$5,024.52