Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,425.67 / $8,229.00	Facility		$860.00	$1,425.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.50 / $1,030.35 / $1,530.82	Professional		$865.50	$1,030.35	$1,530.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,114.00 / $10,099.00 / $27,661.28	Facility		$8,114.00	$10,099.00	$27,661.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.63 / $844.84 / $1,090.91	Professional		$633.63	$844.84	$1,090.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.66 / $1,677.51 / $1,890.91	Facility		$1,377.66	$1,677.51	$1,890.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,320.26 / $1,890.91 / $2,701.30	Professional		$1,320.26	$1,890.91	$2,701.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $1,664.27 / $1,664.27	Facility		$1,664.27	$1,664.27	$1,664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.44 / $1,515.34 / $2,115.29	Professional		$1,224.44	$1,515.34	$2,115.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,755.85	Professional		$32.34	$32.34	$1,755.85
United Facility/Professional Facility Modifier Low / Median / High Price $531.00 / $2,513.00 / $27,879.00	Facility		$531.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.73 / $1,402.70 / $1,943.72	Professional		$1,076.73	$1,402.70	$1,943.72