Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,179.00 / $8,229.00	Facility		$860.00	$1,179.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $1,345.23 / $1,735.01	Professional		$1,179.00	$1,345.23	$1,735.01
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 $961.44 / $1,184.82 / $1,706.35	Professional		$961.44	$1,184.82	$1,706.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,142.09 / $1,567.58 / $1,808.33	Facility		$1,142.09	$1,567.58	$1,808.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,567.58 / $2,239.40	Professional		$1,202.06	$1,567.58	$2,239.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.79 / $1,379.65 / $1,379.65	Facility		$1,221.79	$1,379.65	$1,379.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.99 / $1,715.39 / $2,736.57	Professional		$1,263.99	$1,715.39	$2,736.57
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 $1,210.05 / $1,734.17 / $2,554.40	Professional		$1,210.05	$1,734.17	$2,554.40