Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,778.28 / $8,511.38	Facility		$724.44	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,513.56	Professional		$741.31	$891.25	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,258.93	Professional		$660.69	$812.83	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,513.56	Facility		$776.25	$1,071.52	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,288.25	Professional		$724.44	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,862.09	Facility		$1,096.48	$1,445.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $5,495.41	Professional		$891.25	$1,412.54	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,621.81	Professional		$707.95	$1,000.00	$1,621.81