Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,335.84 / $8,229.00	Facility		$860.00	$1,335.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.31 / $1,121.69 / $1,338.23	Professional		$1,087.31	$1,121.69	$1,338.23
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 $969.11 / $1,174.33 / $1,625.10	Professional		$969.11	$1,174.33	$1,625.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.29 / $1,425.89 / $1,644.87	Facility		$1,039.29	$1,425.89	$1,644.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.04 / $1,425.89 / $2,036.98	Professional		$1,112.04	$1,425.89	$2,036.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,124.79 / $1,250.77 / $1,250.77	Facility		$1,124.79	$1,250.77	$1,250.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.73 / $1,543.59 / $2,365.21	Professional		$1,068.73	$1,543.59	$2,365.21
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 $991.43 / $1,478.28 / $2,162.54	Professional		$991.43	$1,478.28	$2,162.54