Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,818.38 / $10,471.29	Facility		$831.76	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,513.56	Professional		$676.08	$812.83	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,202.26	Professional		$616.60	$741.31	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,288.25	Facility		$724.44	$1,000.00	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,230.27	Professional		$741.31	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $1,348.96	Facility		$34.67	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $5,128.61	Professional		$812.83	$1,288.25	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $31,622.78	Facility		$851.14	$4,677.35	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,548.82	Professional		$660.69	$912.01	$1,548.82