Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,630.27 / $8,511.38	Facility		$630.96	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,318.26	Professional		$630.96	$776.25	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $977.24	Professional		$616.60	$741.31	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,202.26	Facility		$676.08	$933.25	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,148.15	Professional		$691.83	$933.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,258.93 / $1,258.93	Facility		$34.67	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,168.69	Professional		$758.58	$1,202.26	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
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 $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11