Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,091.00 / $8,229.00	Facility		$860.00	$1,091.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.49 / $1,031.86 / $1,107.39	Professional		$929.49	$1,031.86	$1,107.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.53 / $1,013.68 / $1,456.86	Professional		$836.53	$1,013.68	$1,456.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.07 / $1,388.55 / $1,601.80	Facility		$1,015.07	$1,388.55	$1,601.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $969.50 / $1,388.55 / $1,983.64	Professional		$969.50	$1,388.55	$1,983.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.54 / $1,224.48 / $1,224.48	Facility		$1,028.54	$1,224.48	$1,224.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.54 / $1,344.18 / $2,149.86	Professional		$1,028.54	$1,344.18	$2,149.86
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 $898.58 / $1,471.53 / $2,076.66	Professional		$898.58	$1,471.53	$2,076.66