Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $1,303.52 / $8,229.00	Facility		$867.92	$1,303.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.02 / $1,009.20 / $1,303.52	Professional		$794.02	$1,009.20	$1,303.52
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 $810.64 / $975.98 / $1,406.28	Professional		$810.64	$975.98	$1,406.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.30 / $1,345.37 / $1,551.98	Facility		$933.30	$1,345.37	$1,551.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.07 / $1,345.37 / $1,921.96	Professional		$1,057.07	$1,345.37	$1,921.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,283.55	Facility		$1,178.07	$1,178.07	$1,283.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.01 / $1,438.63 / $2,042.53	Professional		$1,004.01	$1,438.63	$2,042.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,249.27	Professional		$32.34	$32.34	$1,249.27
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 $923.85 / $1,307.16 / $1,953.33	Professional		$923.85	$1,307.16	$1,953.33