Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $8,511.38	Facility		$691.83	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,479.11	Professional		$707.95	$851.14	$1,479.11
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 $630.96 / $758.58 / $1,148.15	Professional		$630.96	$758.58	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,318.26	Facility		$741.31	$1,023.29	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,258.93	Professional		$758.58	$1,023.29	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,862.09	Facility		$1,380.38	$1,380.38	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $5,495.41	Professional		$851.14	$1,348.96	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 $676.08 / $954.99 / $1,548.82	Professional		$676.08	$954.99	$1,548.82