Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,150.42 / $8,229.00	Facility		$860.00	$1,150.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.65 / $1,075.42 / $1,239.01	Professional		$1,037.65	$1,075.42	$1,239.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,142.79 / $1,543.09	Professional		$943.07	$1,142.79	$1,543.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.44 / $1,464.18 / $1,689.02	Facility		$1,075.44	$1,464.18	$1,689.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,022.31 / $1,464.18 / $2,091.67	Professional		$1,022.31	$1,464.18	$2,091.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.61 / $1,285.61 / $1,394.96	Facility		$1,285.61	$1,285.61	$1,394.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.38 / $1,505.62 / $2,386.71	Professional		$1,097.38	$1,505.62	$2,386.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.16 / $1,350.69 / $2,144.81	Professional		$1,003.16	$1,350.69	$2,144.81