Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $958.13 / $8,229.00	Facility		$860.00	$958.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.13 / $1,091.19 / $1,222.45	Professional		$958.13	$1,091.19	$1,222.45
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 $734.53 / $890.08 / $1,559.50	Professional		$734.53	$890.08	$1,559.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.05 / $1,564.78 / $1,805.10	Facility		$1,159.05	$1,564.78	$1,805.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,208.14 / $1,564.78 / $2,235.40	Professional		$1,208.14	$1,564.78	$2,235.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.91 / $1,374.48 / $1,374.48	Facility		$1,130.91	$1,374.48	$1,374.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.77 / $1,320.37 / $2,169.98	Professional		$1,061.77	$1,320.37	$2,169.98
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 $988.86 / $1,300.28 / $2,234.88	Professional		$988.86	$1,300.28	$2,234.88