Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,598.64 / $8,229.00	Facility		$860.00	$1,598.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.07 / $1,472.05 / $1,883.51	Professional		$1,279.07	$1,472.05	$1,883.51
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 $961.23 / $1,164.78 / $1,834.07	Professional		$961.23	$1,164.78	$1,834.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.90 / $1,700.90 / $1,962.11	Facility		$1,246.90	$1,700.90	$1,962.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.58 / $1,700.90 / $2,733.59	Professional		$1,187.58	$1,700.90	$2,733.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.93 / $1,496.93 / $1,907.68	Facility		$1,496.93	$1,496.93	$1,907.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.18 / $1,873.57 / $3,176.51	Professional		$1,336.18	$1,873.57	$3,176.51
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 $1,289.86 / $1,934.27 / $2,768.77	Professional		$1,289.86	$1,934.27	$2,768.77