Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.76 / $2,747.00 / $8,501.83	Facility		$515.76	$2,747.00	$8,501.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.15 / $4,556.97 / $7,390.12	Professional		$470.15	$4,556.97	$7,390.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.89 / $593.19 / $696.82	Professional		$444.89	$593.19	$696.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.09 / $656.42 / $757.23	Facility		$453.09	$656.42	$757.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.76 / $679.86 / $7,111.68	Professional		$515.76	$679.86	$7,111.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.38 / $4,950.57 / $12,495.04	Professional		$627.38	$4,950.57	$12,495.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $339.40 / $5,643.99	Professional		$32.34	$339.40	$5,643.99
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $15,075.00	Facility		$973.00	$4,639.00	$15,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,143.72 / $8,662.10 / $12,599.96	Professional		$6,143.72	$8,662.10	$12,599.96