Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.30 / $1,405.70 / $2,747.00	Facility		$302.30	$1,405.70	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.31 / $1,314.89 / $1,978.71	Professional		$327.31	$1,314.89	$1,978.71
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 $261.27 / $1,054.02 / $1,703.32	Professional		$261.27	$1,054.02	$1,703.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.61 / $384.75 / $443.84	Facility		$280.61	$384.75	$443.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $403.09 / $1,943.07	Professional		$300.25	$403.09	$1,943.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.67 / $505.67 / $505.67	Facility		$505.67	$505.67	$505.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $1,432.20 / $2,961.29	Professional		$361.25	$1,432.20	$2,961.29
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 $1,565.46 / $2,328.14 / $3,105.05	Professional		$1,565.46	$2,328.14	$3,105.05