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 $776.25 / $933.25 / $1,584.89	Professional		$776.25	$933.25	$1,584.89
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 $707.95 / $870.96 / $1,348.96	Professional		$707.95	$870.96	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,445.44	Facility		$812.83	$1,122.02	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,348.96	Professional		$812.83	$1,122.02	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,290.87	Facility		$1,513.56	$1,513.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $6,760.83	Professional		$954.99	$1,513.56	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
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 $758.58 / $1,071.52 / $1,698.24	Professional		$758.58	$1,071.52	$1,698.24