Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,174.63 / $8,229.00	Facility		$860.00	$1,174.63	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.94 / $1,117.77 / $1,252.75	Professional		$981.94	$1,117.77	$1,252.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.94 / $1,154.74 / $1,647.05	Professional		$952.94	$1,154.74	$1,647.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,187.80 / $1,603.66 / $1,849.94	Facility		$1,187.80	$1,603.66	$1,849.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,234.15 / $1,603.66 / $2,290.94	Professional		$1,234.15	$1,603.66	$2,290.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $1,406.11 / $1,451.72	Facility		$1,406.11	$1,406.11	$1,451.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.11 / $1,584.36 / $2,392.94	Professional		$1,198.11	$1,584.36	$2,392.94
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.33 / $1,514.92 / $2,307.34	Professional		$1,111.33	$1,514.92	$2,307.34