Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,273.44 / $8,229.00	Facility		$896.00	$1,273.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.73 / $1,083.44 / $1,273.44	Professional		$931.73	$1,083.44	$1,273.44
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 $894.91 / $1,086.98 / $1,534.60	Professional		$894.91	$1,086.98	$1,534.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.49 / $1,444.51 / $1,666.34	Facility		$1,001.49	$1,444.51	$1,666.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,031.79 / $1,444.51 / $2,063.58	Professional		$1,031.79	$1,444.51	$2,063.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,253.93 / $1,264.76 / $1,264.76	Facility		$1,253.93	$1,264.76	$1,264.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.54 / $1,513.83 / $2,110.48	Professional		$1,093.54	$1,513.83	$2,110.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,341.33	Professional		$32.34	$32.34	$1,341.33
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 $992.46 / $1,409.70 / $2,123.78	Professional		$992.46	$1,409.70	$2,123.78