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 $891.25 / $1,047.13 / $1,380.38	Professional		$891.25	$1,047.13	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,348.96	Professional		$758.58	$891.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,318.26	Facility		$776.25	$1,122.02	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,348.96	Professional		$741.31	$1,148.15	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $1,513.56	Facility		$34.67	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $6,025.60	Professional		$954.99	$1,698.24	$6,025.60
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,862.09	Professional		$891.25	$1,318.26	$1,862.09