Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,295.26 / $8,229.00	Facility		$860.00	$1,295.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.69 / $1,080.28 / $1,404.68	Professional		$943.69	$1,080.28	$1,404.68
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 $635.13 / $769.63 / $977.58	Professional		$635.13	$769.63	$977.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.95 / $1,249.98 / $1,441.93	Facility		$915.95	$1,249.98	$1,441.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.75 / $1,249.98 / $1,785.68	Professional		$872.75	$1,249.98	$1,785.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.59 / $1,101.59 / $1,101.59	Facility		$1,101.59	$1,101.59	$1,101.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.55 / $1,354.33 / $2,486.00	Professional		$1,007.55	$1,354.33	$2,486.00
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 $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 $968.32 / $1,522.31 / $2,010.59	Professional		$968.32	$1,522.31	$2,010.59