Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,323.02 / $8,229.00	Facility		$860.00	$2,323.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,928.80 / $2,207.38 / $2,596.03	Professional		$1,928.80	$2,207.38	$2,596.03
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 $1,672.18 / $2,083.92 / $3,132.33	Professional		$1,672.18	$2,083.92	$3,132.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,083.96 / $3,137.25 / $3,619.04	Facility		$2,083.96	$3,137.25	$3,619.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,476.17 / $3,137.25 / $4,481.78	Professional		$2,476.17	$3,137.25	$4,481.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,871.01	Facility		$2,756.33	$2,756.33	$2,871.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,296.94 / $3,109.44 / $4,441.35	Professional		$2,296.94	$3,109.44	$4,441.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,913.16	Professional		$32.34	$32.34	$2,913.16
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 $2,174.53 / $2,887.78 / $4,158.66	Professional		$2,174.53	$2,887.78	$4,158.66