Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,304.67 / $8,229.00	Facility		$860.00	$2,304.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,883.57 / $2,155.15 / $2,539.13	Professional		$1,883.57	$2,155.15	$2,539.13
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 $1,707.28 / $2,166.60 / $3,064.33	Professional		$1,707.28	$2,166.60	$3,064.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,037.59 / $3,064.35 / $3,534.95	Facility		$2,037.59	$3,064.35	$3,534.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,139.57 / $2,954.91 / $4,377.64	Professional		$2,139.57	$2,954.91	$4,377.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,692.04 / $2,848.34	Facility		$2,692.04	$2,692.04	$2,848.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,243.37 / $3,102.56 / $4,438.87	Professional		$2,243.37	$3,102.56	$4,438.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,845.47	Professional		$32.34	$32.34	$2,845.47
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 $2,130.36 / $2,826.00 / $4,055.93	Professional		$2,130.36	$2,826.00	$4,055.93