Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,335.96 / $8,229.00	Facility		$860.00	$1,335.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.02 / $1,249.95 / $1,286.58	Professional		$1,132.02	$1,249.95	$1,286.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.35 / $1,206.13 / $1,780.80	Professional		$995.35	$1,206.13	$1,780.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.79 / $1,700.31 / $1,961.43	Facility		$1,246.79	$1,700.31	$1,961.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,396.69 / $1,700.31 / $2,732.65	Professional		$1,396.69	$1,700.31	$2,732.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.73 / $1,489.26 / $1,489.26	Facility		$1,378.73	$1,489.26	$1,489.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.31 / $1,712.45 / $2,672.15	Professional		$1,275.31	$1,712.45	$2,672.15
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 $1,081.78 / $1,605.60 / $2,536.88	Professional		$1,081.78	$1,605.60	$2,536.88