Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $9,120.11	Facility		$851.14	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,621.81	Professional		$912.01	$1,096.48	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $9,549.93	Facility		$2,344.23	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,412.54	Professional		$870.96	$1,047.13	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,548.82	Facility		$1,047.13	$1,318.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,737.80	Professional		$1,071.52	$1,445.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $6,025.60	Professional		$954.99	$1,348.96	$6,025.60
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 $912.01 / $1,174.90 / $1,949.84	Professional		$912.01	$1,174.90	$1,949.84