Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.40 / $2,747.00 / $8,229.00	Facility		$655.40	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.99 / $1,276.54 / $4,131.56	Professional		$741.99	$1,276.54	$4,131.56
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 $618.19 / $749.11 / $1,283.61	Professional		$618.19	$749.11	$1,283.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $725.89 / $1,026.77 / $1,184.46	Facility		$725.89	$1,026.77	$1,184.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $806.75 / $1,034.10 / $5,157.80	Professional		$806.75	$1,034.10	$5,157.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $1,349.47 / $1,349.47	Facility		$826.51	$1,349.47	$1,349.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.20 / $2,903.17 / $6,576.16	Professional		$850.20	$2,903.17	$6,576.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $392.23 / $3,793.04	Professional		$32.34	$392.23	$3,793.04
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 $2,660.57 / $4,341.53 / $7,278.21	Professional		$2,660.57	$4,341.53	$7,278.21