Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.44 / $3,677.12 / $12,587.63	Facility		$116.44	$3,677.12	$12,587.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $183.39 / $6,494.41	Professional		$89.86	$183.39	$6,494.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $2,783.01 / $4,156.84	Professional		$62.85	$2,783.01	$4,156.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $111.55 / $128.69	Facility		$81.81	$111.55	$128.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $117.95 / $5,253.84	Professional		$91.63	$117.95	$5,253.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.61 / $146.61 / $146.61	Facility		$146.61	$146.61	$146.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $3,818.63 / $9,124.95	Professional		$106.70	$3,818.63	$9,124.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,798.21 / $7,162.10 / $9,478.29	Professional		$4,798.21	$7,162.10	$9,478.29