Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,368.51 / $8,229.00	Facility		$860.00	$1,368.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.08 / $1,198.29 / $1,435.81	Professional		$1,046.08	$1,198.29	$1,435.81
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 $935.71 / $1,133.86 / $1,669.19	Professional		$935.71	$1,133.86	$1,669.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.81 / $1,395.63 / $1,609.97	Facility		$1,024.81	$1,395.63	$1,609.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $974.45 / $1,395.63 / $1,993.76	Professional		$974.45	$1,395.63	$1,993.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.21 / $1,226.21 / $1,633.05	Facility		$1,226.21	$1,226.21	$1,633.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.97 / $1,540.11 / $2,360.30	Professional		$1,206.97	$1,540.11	$2,360.30
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 $1,071.14 / $1,459.19 / $2,128.76	Professional		$1,071.14	$1,459.19	$2,128.76