Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $8,511.38	Facility		$812.83	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,778.28	Professional		$851.14	$1,000.00	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,905.46	Professional		$870.96	$1,047.13	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,548.82	Facility		$870.96	$1,202.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,479.11	Professional		$977.24	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,862.09	Facility		$1,659.59	$1,659.59	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $8,912.51	Professional		$1,071.52	$1,737.80	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
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 $831.76 / $1,258.93 / $1,995.26	Professional		$831.76	$1,258.93	$1,995.26