Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $9,120.11	Facility		$812.83	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,621.81	Professional		$691.83	$851.14	$1,621.81
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 $645.65 / $776.25 / $1,230.27	Professional		$645.65	$776.25	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,318.26	Facility		$741.31	$1,000.00	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,230.27	Professional		$812.83	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $6,309.57	Professional		$870.96	$1,380.38	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,548.82	Professional		$691.83	$977.24	$1,548.82