Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,165.53 / $8,229.00	Facility		$860.00	$1,165.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.16 / $1,105.61 / $1,320.81	Professional		$1,073.16	$1,105.61	$1,320.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $9,479.06 / $14,897.21	Facility		$4,934.66	$9,479.06	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.50 / $1,117.85 / $1,467.91	Professional		$922.50	$1,117.85	$1,467.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,014.17 / $1,385.62 / $1,598.41	Facility		$1,014.17	$1,385.62	$1,598.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.21 / $1,385.62 / $1,979.46	Professional		$1,111.21	$1,385.62	$1,979.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.39 / $1,226.09 / $1,226.09	Facility		$981.39	$1,226.09	$1,226.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.75 / $1,419.84 / $2,181.17	Professional		$1,027.75	$1,419.84	$2,181.17
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 $983.61 / $1,413.73 / $2,067.02	Professional		$983.61	$1,413.73	$2,067.02