Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,401.41 / $8,229.00	Facility		$860.00	$1,401.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.37 / $1,135.38 / $1,461.88	Professional		$979.37	$1,135.38	$1,461.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.44 / $1,162.04 / $1,731.90	Professional		$957.44	$1,162.04	$1,731.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,048.58 / $1,515.82 / $1,748.61	Facility		$1,048.58	$1,515.82	$1,748.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.36 / $1,478.68 / $2,165.46	Professional		$1,058.36	$1,478.68	$2,165.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,379.94	Facility		$1,325.95	$1,325.95	$1,379.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.67 / $1,611.68 / $2,287.33	Professional		$1,161.67	$1,611.68	$2,287.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,407.55	Professional		$32.34	$32.34	$1,407.55
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.99 / $1,509.60 / $2,265.98	Professional		$1,060.99	$1,509.60	$2,265.98