Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.17 / $1,174.78 / $2,747.00	Facility		$348.17	$1,174.78	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.41 / $1,190.92 / $1,634.60	Professional		$379.41	$1,190.92	$1,634.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $1,191.69 / $1,789.73	Professional		$310.30	$1,191.69	$1,789.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.67 / $443.13 / $511.18	Facility		$324.67	$443.13	$511.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $476.42 / $1,644.69	Professional		$347.40	$476.42	$1,644.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.40 / $582.40 / $582.40	Facility		$582.40	$582.40	$582.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.18 / $1,527.35 / $3,345.00	Professional		$426.18	$1,527.35	$3,345.00
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.20 / $2,384.80 / $3,010.68	Professional		$1,425.20	$2,384.80	$3,010.68