Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Professional		$851.14	$1,000.00	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,230.27	Professional		$645.65	$758.58	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,412.54	Facility		$831.76	$1,023.29	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,412.54	Professional		$794.33	$1,047.13	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $1,621.81	Facility		$34.67	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $4,897.79	Professional		$851.14	$1,258.93	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,737.80	Professional		$831.76	$1,122.02	$1,737.80