Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $13,803.84	Facility		$851.14	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,041.74	Professional		$891.25	$1,023.29	$2,041.74
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 $794.33 / $954.99 / $1,318.26	Professional		$794.33	$954.99	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,659.59	Facility		$933.25	$1,258.93	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,513.56	Professional		$831.76	$1,258.93	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,698.24 / $1,698.24	Facility		$34.67	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $5,248.07	Professional		$1,000.00	$1,621.81	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
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 $851.14 / $1,148.15 / $1,995.26	Professional		$851.14	$1,148.15	$1,995.26