Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $1,259.51 / $13,304.00	Facility		$298.27	$1,259.51	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $1,259.51 / $1,989.03	Professional		$291.64	$1,259.51	$1,989.03
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 $257.02 / $1,007.95 / $1,481.16	Professional		$257.02	$1,007.95	$1,481.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.60 / $379.61 / $437.91	Facility		$276.60	$379.61	$437.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $433.84 / $2,225.66	Professional		$295.95	$433.84	$2,225.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.92 / $498.92 / $498.92	Facility		$498.92	$498.92	$498.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.06 / $1,353.31 / $2,664.98	Professional		$363.06	$1,353.31	$2,664.98
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 $1,427.33 / $2,098.34 / $2,808.30	Professional		$1,427.33	$2,098.34	$2,808.30