Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.72 / $1,329.25 / $13,304.00	Facility		$981.72	$1,329.25	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,078.82 / $1,180.15	Professional		$979.11	$1,078.82	$1,180.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,643.00 / $10,202.00 / $15,330.00	Facility		$4,643.00	$10,202.00	$15,330.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.59 / $1,180.98 / $1,576.40	Professional		$974.59	$1,180.98	$1,576.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.07 / $1,453.62 / $1,676.86	Facility		$1,059.07	$1,453.62	$1,676.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.30 / $1,453.62 / $2,076.60	Professional		$1,038.30	$1,453.62	$2,076.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.49 / $1,283.66 / $1,283.66	Facility		$1,214.49	$1,283.66	$1,283.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.35 / $1,550.14 / $2,450.09	Professional		$1,133.35	$1,550.14	$2,450.09
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 $973.00 / $6,818.00 / $15,000.00	Facility		$973.00	$6,818.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,046.88 / $1,578.63 / $2,211.44	Professional		$1,046.88	$1,578.63	$2,211.44