Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $10,471.29	Facility		$851.14	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,905.46	Professional		$870.96	$1,023.29	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $12,022.64	Facility		$2,884.03	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,412.54	Professional		$851.14	$1,023.29	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,737.80	Facility		$912.01	$1,258.93	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,513.56	Professional		$933.25	$1,258.93	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,511.89	Facility		$1,698.24	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $5,754.40	Professional		$1,071.52	$1,659.59	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
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 $870.96 / $1,202.26 / $1,995.26	Professional		$870.96	$1,202.26	$1,995.26