Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,258.15 / $8,229.00	Facility		$860.00	$1,258.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.51 / $1,136.56 / $1,454.12	Professional		$987.51	$1,136.56	$1,454.12
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 $882.04 / $1,068.83 / $1,491.54	Professional		$882.04	$1,068.83	$1,491.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.23 / $1,312.63 / $1,514.21	Facility		$962.23	$1,312.63	$1,514.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.59 / $1,312.63 / $2,109.58	Professional		$937.59	$1,312.63	$2,109.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.10 / $1,155.10 / $1,501.36	Facility		$1,155.10	$1,155.10	$1,501.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.38 / $1,512.00 / $2,403.71	Professional		$1,229.38	$1,512.00	$2,403.71
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 $1,037.86 / $1,501.79 / $2,157.55	Professional		$1,037.86	$1,501.79	$2,157.55