Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,398.16 / $8,229.00	Facility		$860.00	$1,398.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.42 / $1,245.89 / $1,593.15	Professional		$1,082.42	$1,245.89	$1,593.15
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 $946.56 / $1,147.01 / $1,752.08	Professional		$946.56	$1,147.01	$1,752.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,054.98 / $1,439.20 / $1,660.22	Facility		$1,054.98	$1,439.20	$1,660.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,028.00 / $1,439.20 / $2,056.00	Professional		$1,028.00	$1,439.20	$2,056.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.77 / $1,266.77 / $1,668.44	Facility		$1,266.77	$1,266.77	$1,668.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.63 / $1,630.35 / $2,719.62	Professional		$1,248.63	$1,630.35	$2,719.62
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 $1,115.98 / $1,654.91 / $2,346.35	Professional		$1,115.98	$1,654.91	$2,346.35