Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,163.24 / $8,229.00	Facility		$860.00	$1,163.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $1,156.86 / $1,394.02	Professional		$987.00	$1,156.86	$1,394.02
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 $947.58 / $1,127.95 / $1,536.35	Professional		$947.58	$1,127.95	$1,536.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,106.35 / $1,585.30 / $1,828.77	Facility		$1,106.35	$1,585.30	$1,828.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,585.30 / $2,264.71	Professional		$1,132.35	$1,585.30	$2,264.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,437.64	Facility		$1,392.82	$1,392.82	$1,437.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.68 / $1,608.52 / $2,172.58	Professional		$1,160.68	$1,608.52	$2,172.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,472.07	Professional		$32.34	$32.34	$1,472.07
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 $1,126.34 / $1,524.41 / $2,237.92	Professional		$1,126.34	$1,524.41	$2,237.92