Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,630.27 / $8,511.38	Facility		$724.44	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,548.82	Professional		$776.25	$912.01	$1,548.82
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 $691.83 / $851.14 / $1,174.90	Professional		$691.83	$851.14	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,412.54	Facility		$794.33	$1,096.48	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,348.96	Professional		$891.25	$1,096.48	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,479.11 / $1,479.11	Facility		$34.67	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $4,168.69	Professional		$891.25	$1,445.44	$4,168.69
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,698.24	Professional		$741.31	$1,000.00	$1,698.24