Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.64 / $1,630.97 / $8,229.00	Facility		$350.64	$1,630.97	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,682.09 / $2,523.13	Professional		$338.98	$1,682.09	$2,523.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $3,614.00 / $8,509.00	Facility		$2,315.00	$3,614.00	$8,509.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.92 / $1,450.01 / $2,130.75	Professional		$298.92	$1,450.01	$2,130.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.01 / $446.26 / $514.80	Facility		$326.01	$446.26	$514.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $510.02 / $2,911.28	Professional		$311.58	$510.02	$2,911.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.52 / $586.52 / $586.52	Facility		$586.52	$586.52	$586.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.24 / $1,662.55 / $3,834.47	Professional		$426.24	$1,662.55	$3,834.47
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 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,060.41 / $3,017.16 / $3,740.42	Professional		$2,060.41	$3,017.16	$3,740.42