Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,144.20 / $8,229.00	Facility		$860.00	$1,144.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.77 / $1,109.33 / $1,329.68	Professional		$968.77	$1,109.33	$1,329.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.65 / $1,036.84 / $1,494.40	Professional		$855.65	$1,036.84	$1,494.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.86 / $1,292.75 / $1,491.27	Facility		$941.86	$1,292.75	$1,491.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.69 / $1,292.75 / $1,846.78	Professional		$1,010.69	$1,292.75	$1,846.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.80 / $1,135.80 / $1,365.39	Facility		$1,135.80	$1,135.80	$1,365.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.43 / $1,374.82 / $2,162.04	Professional		$1,126.43	$1,374.82	$2,162.04
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 $978.83 / $1,403.78 / $1,970.22	Professional		$978.83	$1,403.78	$1,970.22