Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,060.83 / $8,229.00	Facility		$860.00	$1,060.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.60 / $1,088.44 / $1,434.72	Professional		$955.60	$1,088.44	$1,434.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.20 / $1,010.83 / $1,356.90	Professional		$859.20	$1,010.83	$1,356.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.30 / $1,270.95 / $1,466.14	Facility		$932.30	$1,270.95	$1,466.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.77 / $1,270.95 / $2,042.60	Professional		$996.77	$1,270.95	$2,042.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.54 / $1,115.54 / $1,265.89	Facility		$1,115.54	$1,115.54	$1,265.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.43 / $1,332.60 / $2,046.92	Professional		$1,120.43	$1,332.60	$2,046.92
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 / $1,388.28 / $1,948.46	Professional		$968.32	$1,388.28	$1,948.46