Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,079.91 / $8,229.00	Facility		$860.00	$1,079.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.76 / $1,225.57 / $1,461.44	Professional		$1,064.76	$1,225.57	$1,461.44
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 $972.31 / $1,145.53 / $1,521.40	Professional		$972.31	$1,145.53	$1,521.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.25 / $1,416.30 / $1,633.79	Facility		$1,038.25	$1,416.30	$1,633.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.64 / $1,416.30 / $2,023.28	Professional		$1,011.64	$1,416.30	$2,023.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.83 / $1,245.83 / $1,288.66	Facility		$1,245.83	$1,245.83	$1,288.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.41 / $1,556.92 / $2,474.98	Professional		$1,247.41	$1,556.92	$2,474.98
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 $1,097.81 / $1,566.84 / $2,271.03	Professional		$1,097.81	$1,566.84	$2,271.03