Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.79 / $3,107.00 / $8,962.37	Facility		$512.79	$3,107.00	$8,962.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.29 / $3,216.00 / $7,708.14	Professional		$494.29	$3,216.00	$7,708.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.59 / $4,541.74 / $6,673.95	Professional		$420.59	$4,541.74	$6,673.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.49 / $652.64 / $752.86	Facility		$475.49	$652.64	$752.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.10 / $745.87 / $6,704.94	Professional		$536.10	$745.87	$6,704.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.75 / $857.75 / $857.75	Facility		$857.75	$857.75	$857.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $4,915.21 / $12,015.96	Professional		$608.01	$4,915.21	$12,015.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,572.00 / $10,917.00 / $31,320.00	Facility		$1,572.00	$10,917.00	$31,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,228.24 / $9,643.95 / $12,662.21	Professional		$6,228.24	$9,643.95	$12,662.21