Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,399.81 / $8,229.00	Facility		$860.00	$1,399.81	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $1,270.89 / $1,624.59	Professional		$1,103.99	$1,270.89	$1,624.59
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 $945.11 / $1,145.26 / $1,597.44	Professional		$945.11	$1,145.26	$1,597.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.57 / $1,468.54 / $1,694.08	Facility		$1,076.57	$1,468.54	$1,694.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.93 / $1,468.54 / $2,097.92	Professional		$1,151.93	$1,468.54	$2,097.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.21 / $1,291.21 / $1,670.41	Facility		$1,291.21	$1,291.21	$1,670.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.94 / $1,630.99 / $2,609.79	Professional		$1,305.94	$1,630.99	$2,609.79
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 $1,137.58 / $1,665.30 / $2,391.94	Professional		$1,137.58	$1,665.30	$2,391.94