Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,220.71 / $8,229.00	Facility		$860.00	$1,220.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.39 / $1,052.03 / $1,348.42	Professional		$914.39	$1,052.03	$1,348.42
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 $872.14 / $1,074.07 / $1,513.19	Professional		$872.14	$1,074.07	$1,513.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.92 / $1,215.19 / $1,401.80	Facility		$890.92	$1,215.19	$1,401.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $934.42 / $1,215.19 / $1,735.98	Professional		$934.42	$1,215.19	$1,735.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $1,069.51 / $1,456.68	Facility		$1,069.51	$1,069.51	$1,456.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.83 / $1,392.43 / $2,152.17	Professional		$1,110.83	$1,392.43	$2,152.17
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 $941.13 / $1,457.09 / $1,976.04	Professional		$941.13	$1,457.09	$1,976.04