Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,227.69 / $8,229.00	Facility		$896.00	$1,227.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.93 / $1,088.04 / $1,264.69	Professional		$934.93	$1,088.04	$1,264.69
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 $836.95 / $1,042.73 / $1,471.70	Professional		$836.95	$1,042.73	$1,471.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.74 / $1,450.58 / $1,673.35	Facility		$1,005.74	$1,450.58	$1,673.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.58 / $1,450.58 / $2,072.26	Professional		$1,139.58	$1,450.58	$2,072.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.89 / $1,270.14 / $1,270.14	Facility		$1,208.89	$1,270.14	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.26 / $1,482.96 / $2,343.96	Professional		$1,101.26	$1,482.96	$2,343.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,346.97	Professional		$32.34	$32.34	$1,346.97
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 $1,016.35 / $1,360.08 / $2,128.64	Professional		$1,016.35	$1,360.08	$2,128.64