Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.84 / $1,345.05 / $9,659.21	Facility		$892.84	$1,345.05	$9,659.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.84 / $1,037.45 / $1,345.05	Professional		$892.84	$1,037.45	$1,345.05
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 $876.09 / $1,057.31 / $1,578.18	Professional		$876.09	$1,057.31	$1,578.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.80 / $1,382.72 / $1,595.07	Facility		$957.80	$1,382.72	$1,595.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $965.44 / $1,382.72 / $1,975.32	Professional		$965.44	$1,382.72	$1,975.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,211.33 / $1,324.44	Facility		$1,211.33	$1,211.33	$1,324.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.55 / $1,435.93 / $2,220.84	Professional		$1,055.55	$1,435.93	$2,220.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,283.96	Professional		$32.34	$32.34	$1,283.96
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 $967.87 / $1,404.59 / $2,183.88	Professional		$967.87	$1,404.59	$2,183.88