Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,337.80 / $8,229.00	Facility		$860.00	$1,337.80	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,120.99 / $1,359.44	Professional		$1,086.96	$1,120.99	$1,359.44
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 $971.58 / $1,177.33 / $1,638.80	Professional		$971.58	$1,177.33	$1,638.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $1,425.03 / $1,643.88	Facility		$1,038.67	$1,425.03	$1,643.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.16 / $1,425.03 / $2,035.76	Professional		$1,149.16	$1,425.03	$2,035.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.67 / $1,249.66 / $1,249.66	Facility		$1,144.67	$1,249.66	$1,249.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.08 / $1,554.59 / $2,470.44	Professional		$1,068.08	$1,554.59	$2,470.44
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 $1,031.60 / $1,498.79 / $2,161.19	Professional		$1,031.60	$1,498.79	$2,161.19