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 $933.25 / $1,096.48 / $1,513.56	Professional		$933.25	$1,096.48	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,471.29 / $11,220.18	Facility		$5,888.44	$10,471.29	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,513.56	Professional		$954.99	$1,122.02	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,412.54	Facility		$812.83	$1,174.90	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,445.44	Professional		$851.14	$1,230.27	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $1,584.89	Facility		$34.67	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $6,309.57	Professional		$1,174.90	$1,949.84	$6,309.57
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 $933.25 / $1,412.54 / $1,995.26	Professional		$933.25	$1,412.54	$1,995.26