Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $8,511.38	Facility		$660.69	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,513.56	Professional		$676.08	$794.33	$1,513.56
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 $602.56 / $741.31 / $1,023.29	Professional		$602.56	$741.31	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,380.38	Facility		$707.95	$1,000.00	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,202.26	Professional		$660.69	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $1,348.96	Facility		$34.67	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,981.07	Professional		$758.58	$1,288.25	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
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 $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82