Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,276.51 / $8,229.00	Facility		$860.00	$1,276.51	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.84 / $1,069.26 / $1,536.44	Professional		$932.84	$1,069.26	$1,536.44
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 $855.04 / $1,036.11 / $1,612.02	Professional		$855.04	$1,036.11	$1,612.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.56 / $1,243.03 / $1,433.93	Facility		$912.56	$1,243.03	$1,433.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.90 / $1,243.03 / $1,775.76	Professional		$867.90	$1,243.03	$1,775.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.94 / $1,091.94 / $1,523.26	Facility		$1,091.94	$1,091.94	$1,523.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.39 / $1,378.88 / $2,158.00	Professional		$1,103.39	$1,378.88	$2,158.00
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 $1,322.00 / $6,378.00 / $18,870.00	Facility		$1,322.00	$6,378.00	$18,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.44 / $1,399.57 / $1,997.77	Professional		$939.44	$1,399.57	$1,997.77