Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $8,511.38	Facility		$812.83	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,288.25	Professional		$831.76	$933.25	$1,288.25
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 $812.83 / $954.99 / $1,348.96	Professional		$812.83	$954.99	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,230.27	Facility		$724.44	$1,047.13	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,258.93	Professional		$776.25	$1,071.52	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $1,412.54	Facility		$34.67	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $5,495.41	Professional		$1,000.00	$1,737.80	$5,495.41
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 / $1,258.93 / $1,737.80	Professional		$831.76	$1,258.93	$1,737.80