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 / $1,122.02 / $1,479.11	Professional		$954.99	$1,122.02	$1,479.11
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 / $891.25 / $1,445.44	Professional		$758.58	$891.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,445.44	Facility		$831.76	$1,202.26	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,445.44	Professional		$812.83	$1,230.27	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $1,621.81	Facility		$34.67	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $6,165.95	Professional		$1,148.15	$1,995.26	$6,165.95
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 $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,041.74	Professional		$954.99	$1,412.54	$2,041.74