Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,570.40 / $10,471.29	Facility		$891.25	$2,570.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,995.26	Professional		$831.76	$977.24	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $12,022.64	Facility		$2,884.03	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,230.27	Professional		$758.58	$891.25	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,380.38	Facility		$794.33	$977.24	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,380.38	Professional		$758.58	$1,071.52	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,511.89	Facility		$1,548.82	$1,548.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $7,762.47	Professional		$870.96	$1,258.93	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $10,000.00	Facility		$724.44	$2,511.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59