Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,089.30	Professional		$851.14	$1,047.13	$2,089.30
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 $741.31 / $891.25 / $1,513.56	Professional		$741.31	$891.25	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,621.81	Facility		$912.01	$1,288.25	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,548.82	Professional		$851.14	$1,258.93	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Facility		$1,737.80	$1,737.80	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $7,079.46	Professional		$1,000.00	$1,659.59	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,041.74	Professional		$831.76	$1,148.15	$2,041.74