Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.23 / $1,424.73 / $8,229.00	Facility		$631.23	$1,424.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.61 / $965.05 / $1,979.36	Professional		$693.61	$965.05	$1,979.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $785.48 / $1,312.88	Professional		$648.21	$785.48	$1,312.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $697.76 / $987.18 / $1,138.78	Facility		$697.76	$987.18	$1,138.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $771.43 / $994.23 / $2,243.46	Professional		$771.43	$994.23	$2,243.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.84 / $1,297.44 / $1,297.44	Facility		$827.84	$1,297.44	$1,297.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.84 / $1,714.94 / $3,612.45	Professional		$827.84	$1,714.94	$3,612.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $371.29 / $1,687.44	Professional		$32.34	$371.29	$1,687.44
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 $1,612.50 / $2,303.57 / $3,849.71	Professional		$1,612.50	$2,303.57	$3,849.71