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 $954.99 / $1,096.48 / $1,412.54	Professional		$954.99	$1,096.48	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $29,512.09	Facility		$5,888.44	$10,715.19	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $851.14	Professional		$630.96	$741.31	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,445.44	Facility		$851.14	$1,202.26	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,479.11	Professional		$812.83	$1,258.93	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $4,466.84	Professional		$1,122.02	$1,905.46	$4,466.84
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 $977.24 / $1,513.56 / $1,995.26	Professional		$977.24	$1,513.56	$1,995.26