Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,468.62 / $8,229.00	Facility		$860.00	$2,468.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.21 / $2,292.81 / $2,698.59	Professional		$2,004.21	$2,292.81	$2,698.59
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 $1,763.56 / $2,238.84 / $3,255.42	Professional		$1,763.56	$2,238.84	$3,255.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,166.06 / $3,259.56 / $3,760.14	Facility		$2,166.06	$3,259.56	$3,760.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,328.26 / $3,047.69 / $4,656.52	Professional		$2,328.26	$3,047.69	$4,656.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $3,050.96	Facility		$2,864.64	$2,864.64	$3,050.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,387.19 / $3,242.91 / $4,609.43	Professional		$2,387.19	$3,242.91	$4,609.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,026.74	Professional		$32.34	$32.34	$3,026.74
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 $2,270.07 / $3,068.94 / $4,373.81	Professional		$2,270.07	$3,068.94	$4,373.81