Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,261.91 / $8,229.00	Facility		$860.00	$1,261.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.83 / $1,243.60 / $1,601.78	Professional		$1,069.83	$1,243.60	$1,601.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.10 / $1,120.02 / $1,563.70	Professional		$940.10	$1,120.02	$1,563.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.20 / $1,469.48 / $1,695.16	Facility		$1,079.20	$1,469.48	$1,695.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.01 / $1,469.48 / $2,099.26	Professional		$1,026.01	$1,469.48	$2,099.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.67 / $1,273.43 / $1,273.43	Facility		$1,203.67	$1,273.43	$1,273.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.19 / $1,522.26 / $2,372.59	Professional		$1,147.19	$1,522.26	$2,372.59
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 $1,073.14 / $1,550.93 / $2,176.73	Professional		$1,073.14	$1,550.93	$2,176.73