Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,289.34 / $8,229.00	Facility		$860.00	$1,289.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.70 / $1,098.34 / $1,407.66	Professional		$954.70	$1,098.34	$1,407.66
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 $916.56 / $1,122.50 / $1,576.40	Professional		$916.56	$1,122.50	$1,576.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $925.32 / $1,270.05 / $1,465.09	Facility		$925.32	$1,270.05	$1,465.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.35 / $1,270.05 / $1,814.36	Professional		$996.35	$1,270.05	$1,814.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.19 / $1,117.19 / $1,538.58	Facility		$1,117.19	$1,117.19	$1,538.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.69 / $1,437.18 / $2,241.77	Professional		$1,143.69	$1,437.18	$2,241.77
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 $1,076.71 / $1,568.46 / $2,064.94	Professional		$1,076.71	$1,568.46	$2,064.94