Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,063.43 / $8,229.00	Facility		$860.00	$1,063.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.77 / $1,152.82 / $1,488.92	Professional		$1,009.77	$1,152.82	$1,488.92
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 $832.85 / $1,009.22 / $1,460.60	Professional		$832.85	$1,009.22	$1,460.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $984.82 / $1,343.17 / $1,549.45	Facility		$984.82	$1,343.17	$1,549.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.82 / $1,343.17 / $2,158.67	Professional		$937.82	$1,343.17	$2,158.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.05 / $1,182.05 / $1,268.99	Facility		$1,182.05	$1,182.05	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.05 / $1,417.85 / $2,103.69	Professional		$1,090.05	$1,417.85	$2,103.69
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 $950.98 / $1,395.26 / $2,078.64	Professional		$950.98	$1,395.26	$2,078.64