Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,292.25 / $8,229.00	Facility		$860.00	$1,292.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.58 / $1,205.56 / $1,434.69	Professional		$1,051.58	$1,205.56	$1,434.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.87 / $1,164.78 / $1,650.58	Professional		$940.87	$1,164.78	$1,650.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.20 / $1,713.89 / $1,977.10	Facility		$1,148.20	$1,713.89	$1,977.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.67 / $1,652.68 / $2,448.42	Professional		$1,196.67	$1,652.68	$2,448.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,597.09	Facility		$1,504.93	$1,504.93	$1,597.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.60 / $1,670.44 / $2,380.15	Professional		$1,266.60	$1,670.44	$2,380.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,591.47	Professional		$32.34	$32.34	$1,591.47
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 $1,202.40 / $1,592.54 / $2,632.59	Professional		$1,202.40	$1,592.54	$2,632.59