Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $8,511.38	Facility		$812.83	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,819.70	Professional		$812.83	$1,000.00	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $11,220.18	Facility		$7,244.36	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,445.44	Professional		$758.58	$933.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Facility		$912.01	$1,202.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,479.11	Professional		$870.96	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $6,456.54	Professional		$1,000.00	$1,548.82	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,760.83 / $15,488.17	Facility		$1,174.90	$6,760.83	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,905.46	Professional		$812.83	$1,096.48	$1,905.46