Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,156.51 / $8,229.00	Facility		$860.00	$2,156.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.88 / $2,079.96 / $2,534.46	Professional		$1,828.88	$2,079.96	$2,534.46
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 $1,555.21 / $1,935.32 / $2,841.78	Professional		$1,555.21	$1,935.32	$2,841.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,892.36 / $2,843.78 / $3,280.50	Facility		$1,892.36	$2,843.78	$3,280.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,170.10 / $2,742.21 / $4,062.54	Professional		$2,170.10	$2,742.21	$4,062.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,498.52 / $2,498.52 / $2,665.21	Facility		$2,498.52	$2,498.52	$2,665.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,145.66 / $2,829.48 / $4,116.50	Professional		$2,145.66	$2,829.48	$4,116.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,640.65	Professional		$32.34	$32.34	$2,640.65
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 $1,976.19 / $2,695.27 / $3,758.64	Professional		$1,976.19	$2,695.27	$3,758.64