Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,949.84 / $9,120.11	Facility		$758.58	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,412.54	Professional		$630.96	$776.25	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,071.52	Professional		$562.34	$691.83	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,288.25	Facility		$676.08	$933.25	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,122.02	Professional		$741.31	$912.01	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,290.87	Facility		$851.14	$1,258.93	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $5,248.07	Professional		$741.31	$1,202.26	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
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 $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38