Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,818.38 / $8,511.38	Facility		$794.33	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,318.26	Professional		$831.76	$933.25	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,047.13	Professional		$645.65	$758.58	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,202.26	Facility		$707.95	$1,023.29	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,230.27	Professional		$691.83	$1,047.13	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,380.38 / $1,380.38	Facility		$34.67	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,801.89	Professional		$977.24	$1,621.81	$3,801.89
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 $831.76 / $1,380.38 / $1,737.80	Professional		$831.76	$1,380.38	$1,737.80