Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,216.98 / $8,229.00	Facility		$860.00	$1,216.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $1,052.77 / $1,349.50	Professional		$915.09	$1,052.77	$1,349.50
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 $915.54 / $1,088.92 / $1,520.90	Professional		$915.54	$1,088.92	$1,520.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.20 / $1,216.89 / $1,403.78	Facility		$892.20	$1,216.89	$1,403.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $935.70 / $1,216.89 / $1,738.42	Professional		$935.70	$1,216.89	$1,738.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.02 / $1,071.02 / $1,452.23	Facility		$1,071.02	$1,071.02	$1,452.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.41 / $1,402.18 / $2,164.29	Professional		$1,125.41	$1,402.18	$2,164.29
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 $953.39 / $1,428.41 / $1,981.31	Professional		$953.39	$1,428.41	$1,981.31