Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $8,511.38	Facility		$776.25	$1,288.25	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,288.25	Professional		$691.83	$812.83	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,120.11 / $11,220.18	Facility		$3,090.30	$9,120.11	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Professional		$537.03	$630.96	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $1,174.90	Facility		$676.08	$831.76	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,202.26	Professional		$660.69	$912.01	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $1,348.96	Facility		$34.67	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $3,890.45	Professional		$691.83	$1,047.13	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,445.44	Professional		$676.08	$891.25	$1,445.44