Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,295.99 / $8,229.00	Facility		$860.00	$1,295.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $1,259.45 / $1,495.46	Professional		$1,215.06	$1,259.45	$1,495.46
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 $974.73 / $1,181.15 / $1,676.25	Professional		$974.73	$1,181.15	$1,676.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.13 / $1,590.76 / $1,835.06	Facility		$1,169.13	$1,590.76	$1,835.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,306.70 / $1,590.76 / $2,272.52	Professional		$1,306.70	$1,590.76	$2,272.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.23 / $1,396.27 / $1,396.27	Facility		$1,091.23	$1,396.27	$1,396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.90 / $1,617.63 / $2,468.41	Professional		$1,197.90	$1,617.63	$2,468.41
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 $1,095.63 / $1,514.95 / $2,389.46	Professional		$1,095.63	$1,514.95	$2,389.46