Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $9,772.37	Facility		$776.25	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,230.27	Professional		$776.25	$891.25	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,071.52	Professional		$676.08	$794.33	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,174.90	Facility		$724.44	$1,000.00	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,202.26	Professional		$741.31	$1,023.29	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Facility		$1,348.96	$1,348.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $4,365.16	Professional		$794.33	$1,230.27	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,445.44	Professional		$676.08	$977.24	$1,445.44