Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,162.28 / $13,803.84	Facility		$630.96	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,047.13	Professional		$562.34	$741.31	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $851.14	Professional		$467.74	$549.54	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $954.99	Facility		$588.84	$812.83	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $977.24	Professional		$575.44	$831.76	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,090.30	Facility		$1,096.48	$1,096.48	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $3,162.28	Professional		$588.84	$954.99	$3,162.28
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 $524.81 / $741.31 / $1,148.15	Professional		$524.81	$741.31	$1,148.15