Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,288.25	Professional		$851.14	$977.24	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $11,220.18	Facility		$9,120.11	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,348.96	Professional		$776.25	$933.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,348.96	Facility		$794.33	$1,122.02	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,380.38	Professional		$912.01	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,445.44 / $1,513.56	Facility		$34.67	$1,445.44	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $5,623.41	Professional		$912.01	$1,548.82	$5,623.41
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,737.80	Professional		$776.25	$1,122.02	$1,737.80