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 $954.99 / $1,148.15 / $1,995.26	Professional		$954.99	$1,148.15	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,819.70	Professional		$977.24	$1,202.26	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,819.70	Facility		$1,023.29	$1,412.54	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,659.59	Professional		$954.99	$1,380.38	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,290.87	Facility		$1,905.46	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $8,912.51	Professional		$1,288.25	$2,041.74	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
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 $977.24 / $1,412.54 / $2,238.72	Professional		$977.24	$1,412.54	$2,238.72