Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $13,803.84	Facility		$851.14	$2,818.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,621.81	Professional		$724.44	$851.14	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $12,302.69	Facility		$3,467.37	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,174.90	Professional		$691.83	$831.76	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,348.96	Facility		$758.58	$1,023.29	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,258.93	Professional		$758.58	$1,023.29	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,090.30	Facility		$1,258.93	$1,412.54	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $4,570.88	Professional		$870.96	$1,412.54	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,698.24	Professional		$741.31	$1,023.29	$1,698.24