Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,114.17 / $8,229.00	Facility		$860.00	$1,114.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.33 / $1,085.63 / $1,255.66	Professional		$1,039.33	$1,085.63	$1,255.66
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 $967.14 / $1,171.95 / $1,548.40	Professional		$967.14	$1,171.95	$1,548.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.14 / $1,418.03 / $1,635.81	Facility		$1,033.14	$1,418.03	$1,635.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.09 / $1,418.03 / $2,025.76	Professional		$990.09	$1,418.03	$2,025.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.27 / $1,243.49 / $1,243.49	Facility		$1,057.27	$1,243.49	$1,243.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.08 / $1,503.21 / $2,354.10	Professional		$1,060.08	$1,503.21	$2,354.10
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 $998.87 / $1,543.60 / $2,066.42	Professional		$998.87	$1,543.60	$2,066.42