Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $10,471.29	Facility		$707.95	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,096.48	Professional		$512.86	$602.56	$1,096.48
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 $467.74 / $549.54 / $741.31	Professional		$467.74	$549.54	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $851.14	Facility		$489.78	$645.65	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $851.14	Professional		$512.86	$660.69	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,511.89	Facility		$977.24	$977.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $3,235.94	Professional		$537.03	$758.58	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
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 $512.86 / $676.08 / $1,047.13	Professional		$512.86	$676.08	$1,047.13