Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,497.42 / $8,229.00	Facility		$860.00	$2,497.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,118.48 / $2,335.53 / $2,484.73	Professional		$2,118.48	$2,335.53	$2,484.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,018.49 / $2,445.94 / $3,506.90	Professional		$2,018.49	$2,445.94	$3,506.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,362.98 / $3,226.37 / $3,721.85	Facility		$2,362.98	$3,226.37	$3,721.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,650.23 / $3,226.37 / $4,609.10	Professional		$2,650.23	$3,226.37	$4,609.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,522.61 / $2,847.02 / $2,847.02	Facility		$2,522.61	$2,847.02	$2,847.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,525.16 / $3,120.20 / $5,394.45	Professional		$2,525.16	$3,120.20	$5,394.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $2,191.28 / $3,269.83 / $4,777.03	Professional		$2,191.28	$3,269.83	$4,777.03