Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,321.52 / $8,229.00	Facility		$860.00	$1,321.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.07 / $1,111.97 / $1,428.18	Professional		$1,009.07	$1,111.97	$1,428.18
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 $816.85 / $989.83 / $1,621.46	Professional		$816.85	$989.83	$1,621.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.29 / $1,496.59 / $1,726.42	Facility		$1,094.29	$1,496.59	$1,726.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,229.33 / $1,496.59 / $2,137.98	Professional		$1,229.33	$1,496.59	$2,137.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.41 / $1,322.26 / $1,322.26	Facility		$1,207.41	$1,322.26	$1,322.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.97 / $1,481.63 / $2,492.89	Professional		$1,162.97	$1,481.63	$2,492.89
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.25 / $1,627.05 / $2,349.67	Professional		$1,063.25	$1,627.05	$2,349.67