Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $10,471.29	Facility		$851.14	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,949.84	Professional		$831.76	$977.24	$1,949.84
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 $812.83 / $977.24 / $1,513.56	Professional		$812.83	$977.24	$1,513.56
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 $870.96 / $1,202.26 / $1,479.11	Professional		$870.96	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,511.89	Facility		$1,621.81	$1,621.81	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $6,760.83	Professional		$1,071.52	$1,621.81	$6,760.83
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,862.09	Professional		$831.76	$1,174.90	$1,862.09