Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.34 / $2,495.00 / $8,647.37	Facility		$429.34	$2,495.00	$8,647.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $3,926.89 / $6,036.12	Professional		$427.14	$3,926.89	$6,036.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $2,898.73 / $4,814.01	Professional		$349.62	$2,898.73	$4,814.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $546.42 / $630.34	Facility		$398.11	$546.42	$630.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.86 / $624.50 / $5,739.29	Professional		$448.86	$624.50	$5,739.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.17 / $718.17 / $718.17	Facility		$718.17	$718.17	$718.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $3,997.71 / $8,244.09	Professional		$534.19	$3,997.71	$8,244.09
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 $1,168.00 / $6,186.00 / $22,932.00	Facility		$1,168.00	$6,186.00	$22,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,705.24 / $6,479.94 / $8,918.48	Professional		$4,705.24	$6,479.94	$8,918.48