Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $9,120.11	Facility		$851.14	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,995.26	Professional		$891.25	$1,096.48	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,621.81	Professional		$870.96	$1,047.13	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,698.24	Facility		$954.99	$1,318.26	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,621.81	Professional		$977.24	$1,288.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,290.87	Facility		$1,819.70	$1,819.70	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $6,918.31	Professional		$1,096.48	$1,737.80	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
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 $912.01 / $1,258.93 / $2,089.30	Professional		$912.01	$1,258.93	$2,089.30