Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,329.00 / $8,229.00	Facility		$860.00	$2,329.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.73 / $2,209.12 / $3,180.44	Professional		$1,934.73	$2,209.12	$3,180.44
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 $1,646.02 / $2,043.01 / $3,013.64	Professional		$1,646.02	$2,043.01	$3,013.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,005.09 / $3,017.63 / $3,481.05	Facility		$2,005.09	$3,017.63	$3,481.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,298.16 / $3,017.63 / $4,310.89	Professional		$2,298.16	$3,017.63	$4,310.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.88 / $2,651.88 / $2,878.40	Facility		$2,651.88	$2,651.88	$2,878.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.90 / $2,988.65 / $4,313.43	Professional		$2,209.90	$2,988.65	$4,313.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,802.09	Professional		$32.34	$32.34	$2,802.09
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 $2,131.84 / $2,715.27 / $3,871.84	Professional		$2,131.84	$2,715.27	$3,871.84