Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,461.47 / $8,229.00	Facility		$860.00	$1,461.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.86 / $1,354.27 / $1,733.83	Professional		$1,176.86	$1,354.27	$1,733.83
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 $900.47 / $1,077.65 / $1,746.17	Professional		$900.47	$1,077.65	$1,746.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,147.71 / $1,565.51 / $1,805.93	Facility		$1,147.71	$1,565.51	$1,805.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,565.51 / $2,236.44	Professional		$1,093.06	$1,565.51	$2,236.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.84 / $1,377.84 / $1,743.98	Facility		$1,377.84	$1,377.84	$1,743.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.48 / $1,717.49 / $2,837.75	Professional		$1,262.48	$1,717.49	$2,837.75
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 $1,211.64 / $1,769.13 / $2,546.05	Professional		$1,211.64	$1,769.13	$2,546.05