Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $1,528.76 / $3,740.00	Facility		$151.69	$1,528.76	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $1,572.13 / $2,552.81	Professional		$156.88	$1,572.13	$2,552.81
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 $117.71 / $1,298.52 / $2,000.91	Professional		$117.71	$1,298.52	$2,000.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $193.06 / $222.72	Facility		$141.16	$193.06	$222.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $220.64 / $2,779.56	Professional		$158.59	$220.64	$2,779.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $253.74 / $253.74	Facility		$253.74	$253.74	$253.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $1,490.33 / $3,645.94	Professional		$183.70	$1,490.33	$3,645.94
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 $973.00 / $4,639.00 / $33,259.00	Facility		$973.00	$4,639.00	$33,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.98 / $2,578.15 / $3,296.52	Professional		$1,578.98	$2,578.15	$3,296.52