Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,113.99 / $8,229.00	Facility		$860.00	$1,113.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.07 / $1,086.54 / $1,281.40	Professional		$1,040.07	$1,086.54	$1,281.40
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 $989.86 / $1,199.49 / $1,578.99	Professional		$989.86	$1,199.49	$1,578.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.45 / $1,417.81 / $1,635.54	Facility		$1,033.45	$1,417.81	$1,635.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $989.93 / $1,417.81 / $2,025.44	Professional		$989.93	$1,417.81	$2,025.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,078.95 / $1,243.66 / $1,243.66	Facility		$1,078.95	$1,243.66	$1,243.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.48 / $1,525.39 / $2,369.86	Professional		$1,062.48	$1,525.39	$2,369.86
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 $1,020.86 / $1,461.95 / $2,149.96	Professional		$1,020.86	$1,461.95	$2,149.96