Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.80 / $1,743.80 / $9,128.46	Facility		$819.80	$1,743.80	$9,128.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $952.90 / $1,122.78	Professional		$819.80	$952.90	$1,122.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.69 / $931.60 / $1,322.50	Professional		$770.69	$931.60	$1,322.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.88 / $1,271.85 / $1,467.18	Facility		$881.88	$1,271.85	$1,467.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $1,271.85 / $1,816.94	Professional		$908.47	$1,271.85	$1,816.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $1,112.98	Facility		$1,112.98	$1,112.98	$1,112.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $1,307.38 / $1,936.08	Professional		$958.90	$1,307.38	$1,936.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,181.01	Professional		$32.34	$32.34	$1,181.01
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.67 / $1,185.43 / $1,849.36	Professional		$851.67	$1,185.43	$1,849.36