Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $10,471.29	Facility		$891.25	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,905.46	Professional		$912.01	$1,023.29	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $11,220.18	Facility		$5,128.61	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,445.44	Professional		$851.14	$1,023.29	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Facility		$933.25	$1,258.93	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,548.82	Professional		$933.25	$1,258.93	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $1,737.80	Facility		$34.67	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $6,456.54	Professional		$1,071.52	$1,698.24	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
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 $891.25 / $1,230.27 / $2,041.74	Professional		$891.25	$1,230.27	$2,041.74