Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,210.50 / $8,229.00	Facility		$860.00	$1,210.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.29 / $1,106.80 / $1,420.05	Professional		$962.29	$1,106.80	$1,420.05
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 $955.77 / $1,124.44 / $1,550.14	Professional		$955.77	$1,124.44	$1,550.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.56 / $1,280.03 / $1,476.60	Facility		$938.56	$1,280.03	$1,476.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,004.26 / $1,280.03 / $1,828.62	Professional		$1,004.26	$1,280.03	$1,828.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,444.49	Facility		$1,126.00	$1,126.00	$1,444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.83 / $1,426.30 / $2,376.46	Professional		$1,180.83	$1,426.30	$2,376.46
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 $990.16 / $1,656.38 / $2,089.37	Professional		$990.16	$1,656.38	$2,089.37