Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.97 / $1,038.94 / $8,229.00	Facility		$980.97	$1,038.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.88 / $1,014.25 / $1,252.93	Professional		$934.88	$1,014.25	$1,252.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.57 / $831.51 / $1,345.68	Professional		$705.57	$831.51	$1,345.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $963.38 / $1,322.29 / $1,525.36	Facility		$963.38	$1,322.29	$1,525.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,033.55 / $1,322.29 / $1,888.98	Professional		$1,033.55	$1,322.29	$1,888.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.75 / $1,159.75 / $1,159.75	Facility		$1,159.75	$1,159.75	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.98 / $1,255.02 / $1,946.23	Professional		$894.98	$1,255.02	$1,946.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,038.94	Professional		$32.34	$32.34	$1,038.94
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.64 / $1,230.11 / $2,111.59	Professional		$889.64	$1,230.11	$2,111.59