Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.18 / $1,121.45 / $1,579.70	Facility		$869.18	$1,121.45	$1,579.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.64 / $1,165.08 / $1,579.70	Professional		$953.64	$1,165.08	$1,579.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.36 / $1,188.67 / $1,735.60	Professional		$1,010.36	$1,188.67	$1,735.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.66 / $1,359.76 / $1,568.58	Facility		$955.66	$1,359.76	$1,568.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,068.39 / $1,390.21 / $2,185.34	Professional		$1,068.39	$1,390.21	$2,185.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.18 / $1,787.12 / $1,787.12	Facility		$1,394.18	$1,787.12	$1,787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.90 / $1,781.76 / $2,841.92	Professional		$1,271.90	$1,781.76	$2,841.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $702.07 / $1,389.18	Professional		$32.34	$702.07	$1,389.18
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.63 / $1,835.39 / $2,783.90	Professional		$1,343.63	$1,835.39	$2,783.90