Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,164.24 / $8,229.00	Facility		$860.00	$1,164.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.51 / $1,164.24 / $1,337.37	Professional		$1,128.51	$1,164.24	$1,337.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.03 / $1,248.51 / $1,674.92	Professional		$963.03	$1,248.51	$1,674.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.82 / $1,580.10 / $1,822.75	Facility		$1,159.82	$1,580.10	$1,822.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,241.50 / $1,580.10 / $2,257.28	Professional		$1,241.50	$1,580.10	$2,257.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.07 / $1,388.58 / $1,388.58	Facility		$1,381.07	$1,388.58	$1,388.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.15 / $1,663.36 / $2,606.96	Professional		$1,157.15	$1,663.36	$2,606.96
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 $1,047.44 / $1,581.06 / $2,334.14	Professional		$1,047.44	$1,581.06	$2,334.14