Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,949.84 / $9,120.11	Facility		$758.58	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,122.02	Professional		$630.96	$758.58	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $9,549.93	Facility		$2,187.76	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $954.99	Professional		$602.56	$707.95	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $1,071.52	Facility		$707.95	$891.25	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,202.26	Professional		$645.65	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Facility		$1,348.96	$1,348.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $4,265.80	Professional		$660.69	$954.99	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $630.96 / $794.33 / $1,348.96	Professional		$630.96	$794.33	$1,348.96