Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,229.17 / $8,229.00	Facility		$860.00	$1,229.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.80 / $1,050.17 / $1,252.68	Professional		$1,017.80	$1,050.17	$1,252.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.58 / $1,063.42 / $1,451.00	Professional		$877.58	$1,063.42	$1,451.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.40 / $1,321.74 / $1,524.73	Facility		$966.40	$1,321.74	$1,524.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $944.10 / $1,321.74 / $1,888.20	Professional		$944.10	$1,321.74	$1,888.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.98 / $1,165.57 / $1,165.57	Facility		$1,034.98	$1,165.57	$1,165.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.79 / $1,363.70 / $2,220.66	Professional		$1,000.79	$1,363.70	$2,220.66
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 $897.78 / $1,402.87 / $2,022.66	Professional		$897.78	$1,402.87	$2,022.66