Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.73 / $1,758.00 / $12,790.47	Facility		$564.73	$1,758.00	$12,790.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $2,843.00 / $11,100.22	Professional		$568.47	$2,843.00	$11,100.22
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 $465.43 / $6,147.44 / $9,565.43	Professional		$465.43	$6,147.44	$9,565.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $718.75 / $829.12	Facility		$523.66	$718.75	$829.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.40 / $744.42 / $10,664.21	Professional		$590.40	$744.42	$10,664.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.64 / $944.64 / $944.64	Facility		$944.64	$944.64	$944.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.71 / $7,384.90 / $17,264.41	Professional		$690.71	$7,384.90	$17,264.41
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 $9,182.25 / $13,556.82 / $18,192.95	Professional		$9,182.25	$13,556.82	$18,192.95