Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,313.52 / $8,229.00	Facility		$860.00	$1,313.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.13 / $1,226.04 / $1,608.00	Professional		$1,073.13	$1,226.04	$1,608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.33 / $1,151.58 / $1,713.24	Professional		$950.33	$1,151.58	$1,713.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $1,428.14 / $1,647.47	Facility		$1,040.51	$1,428.14	$1,647.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,117.11 / $1,428.14 / $2,040.20	Professional		$1,117.11	$1,428.14	$2,040.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.78 / $1,252.78 / $1,567.43	Facility		$1,252.78	$1,252.78	$1,567.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.51 / $1,558.32 / $2,406.77	Professional		$1,260.51	$1,558.32	$2,406.77
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 $1,209.25 / $1,769.49 / $2,306.42	Professional		$1,209.25	$1,769.49	$2,306.42