Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,219.44 / $8,229.00	Facility		$860.00	$1,219.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.82 / $1,096.83 / $1,408.89	Professional		$953.82	$1,096.83	$1,408.89
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 $919.71 / $1,114.48 / $1,560.00	Professional		$919.71	$1,114.48	$1,560.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.60 / $1,270.39 / $1,465.49	Facility		$931.60	$1,270.39	$1,465.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $1,270.39 / $2,041.70	Professional		$887.00	$1,270.39	$2,041.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.42 / $1,116.42 / $1,455.16	Facility		$1,116.42	$1,116.42	$1,455.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.69 / $1,431.09 / $2,322.48	Professional		$1,139.69	$1,431.09	$2,322.48
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 $1,047.67 / $1,639.71 / $2,076.04	Professional		$1,047.67	$1,639.71	$2,076.04