Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,630.27 / $8,511.38	Facility		$758.58	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,737.80	Professional		$776.25	$912.01	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,230.27	Professional		$741.31	$891.25	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,479.11	Facility		$812.83	$1,148.15	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,380.38	Professional		$851.14	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,548.82 / $1,548.82	Facility		$34.67	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $5,128.61	Professional		$954.99	$1,548.82	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,819.70	Professional		$776.25	$1,071.52	$1,819.70