Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $1,078.80 / $3,740.00	Facility		$234.84	$1,078.80	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $1,099.05 / $1,764.91	Professional		$249.21	$1,099.05	$1,764.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.82 / $1,125.33 / $1,816.08	Professional		$231.82	$1,125.33	$1,816.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.43 / $313.43 / $335.20	Facility		$313.43	$313.43	$335.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $958.66 / $1,373.02 / $2,206.64	Professional		$958.66	$1,373.02	$2,206.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $411.94 / $411.94	Facility		$411.94	$411.94	$411.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.23 / $1,116.91 / $2,762.07	Professional		$274.23	$1,116.91	$2,762.07
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,398.57 / $2,171.25 / $2,631.94	Professional		$1,398.57	$2,171.25	$2,631.94