Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $8,511.38	Facility		$794.33	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,344.23	Professional		$1,122.02	$1,348.96	$2,344.23
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 / $1,071.52 / $1,584.89	Professional		$851.14	$1,071.52	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,187.76	Facility		$1,202.26	$1,659.59	$2,187.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,995.26	Professional		$1,230.27	$1,621.81	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,290.87 / $2,290.87	Facility		$34.67	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,041.74 / $6,309.57	Professional		$870.96	$2,041.74	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $758.58 / $1,348.96 / $2,630.27	Professional		$758.58	$1,348.96	$2,630.27