Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $8,511.38	Facility		$812.83	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,258.93	Professional		$870.96	$954.99	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $11,220.18	Facility		$7,244.36	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,445.44	Professional		$758.58	$912.01	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,230.27	Facility		$741.31	$1,047.13	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,258.93	Professional		$776.25	$1,071.52	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $1,412.54	Facility		$34.67	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $5,623.41	Professional		$954.99	$1,584.89	$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 $812.83 / $1,174.90 / $1,659.59	Professional		$812.83	$1,174.90	$1,659.59