Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,526.87 / $10,647.00	Facility		$860.00	$1,526.87	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.72 / $1,182.05 / $1,537.41	Professional		$1,032.72	$1,182.05	$1,537.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $16,225.70 / $48,983.60	Facility		$5,350.00	$16,225.70	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.58 / $850.10 / $1,079.67	Professional		$722.58	$850.10	$1,079.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,002.62 / $1,368.28 / $1,578.41	Facility		$1,002.62	$1,368.28	$1,578.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.94 / $1,368.28 / $1,954.68	Professional		$1,123.94	$1,368.28	$1,954.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.58 / $1,205.58 / $1,205.58	Facility		$1,205.58	$1,205.58	$1,205.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.89 / $1,495.92 / $2,723.68	Professional		$1,102.89	$1,495.92	$2,723.68
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 $1,072.03 / $1,641.66 / $2,220.91	Professional		$1,072.03	$1,641.66	$2,220.91