Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,215.32 / $8,229.00	Facility		$860.00	$1,215.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.85 / $1,161.33 / $1,299.98	Professional		$1,020.85	$1,161.33	$1,299.98
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 $976.99 / $1,183.89 / $1,713.36	Professional		$976.99	$1,183.89	$1,713.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,231.88 / $1,663.28 / $1,918.72	Facility		$1,231.88	$1,663.28	$1,918.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,188.06 / $1,663.28 / $2,376.12	Professional		$1,188.06	$1,663.28	$2,376.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.63 / $1,460.63 / $1,502.01	Facility		$1,460.63	$1,460.63	$1,502.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.33 / $1,634.55 / $2,451.40	Professional		$1,243.33	$1,634.55	$2,451.40
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 $1,139.33 / $1,571.35 / $2,424.63	Professional		$1,139.33	$1,571.35	$2,424.63