Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $8,511.38	Facility		$758.58	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,174.90	Professional		$724.44	$812.83	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $8,511.38	Facility		$1,949.84	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $776.25	Professional		$524.81	$616.60	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,202.26	Facility		$812.83	$1,023.29	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,380.38	Professional		$758.58	$1,122.02	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Facility		$1,548.82	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $4,265.80	Professional		$758.58	$1,096.48	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $602.56	Professional		$44.67	$44.67	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $8,511.38	Facility		$741.31	$2,187.76	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,584.89	Professional		$758.58	$933.25	$1,584.89