Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,359.67 / $8,229.00	Facility		$860.00	$1,359.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.66 / $1,041.48 / $1,359.67	Professional		$895.66	$1,041.48	$1,359.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.93 / $1,050.56 / $1,582.30	Professional		$844.93	$1,050.56	$1,582.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $961.97 / $1,387.37 / $1,600.43	Facility		$961.97	$1,387.37	$1,600.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,089.88 / $1,387.37 / $1,981.96	Professional		$1,089.88	$1,387.37	$1,981.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,215.80 / $1,338.84	Facility		$1,215.80	$1,215.80	$1,338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,447.64 / $2,198.54	Professional		$1,047.08	$1,447.64	$2,198.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,288.27	Professional		$32.34	$32.34	$1,288.27
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 $956.11 / $1,360.15 / $2,044.79	Professional		$956.11	$1,360.15	$2,044.79