Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,484.45 / $8,229.00	Facility		$896.00	$1,484.45	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.32 / $1,150.10 / $1,484.45	Professional		$989.32	$1,150.10	$1,484.45
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 $961.46 / $1,169.26 / $1,742.50	Professional		$961.46	$1,169.26	$1,742.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.29 / $1,532.92 / $1,768.33	Facility		$1,062.29	$1,532.92	$1,768.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,204.43 / $1,532.92 / $2,189.88	Professional		$1,204.43	$1,532.92	$2,189.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.78 / $1,342.78 / $1,461.70	Facility		$1,342.78	$1,342.78	$1,461.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.45 / $1,637.85 / $2,382.42	Professional		$1,163.45	$1,637.85	$2,382.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,423.42	Professional		$32.34	$32.34	$1,423.42
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 $1,074.75 / $1,517.40 / $2,268.26	Professional		$1,074.75	$1,517.40	$2,268.26