Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,590.86 / $8,229.00	Facility		$860.00	$1,590.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.34 / $1,462.23 / $1,870.41	Professional		$1,270.34	$1,462.23	$1,870.41
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 $937.47 / $1,135.99 / $1,834.24	Professional		$937.47	$1,135.99	$1,834.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.21 / $1,689.00 / $1,948.39	Facility		$1,238.21	$1,689.00	$1,948.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.29 / $1,689.00 / $2,714.47	Professional		$1,179.29	$1,689.00	$2,714.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.70 / $1,485.70 / $1,898.38	Facility		$1,485.70	$1,485.70	$1,898.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.06 / $1,818.10 / $2,986.02	Professional		$1,328.06	$1,818.10	$2,986.02
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 $1,307.64 / $1,908.97 / $2,750.70	Professional		$1,307.64	$1,908.97	$2,750.70