Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.17 / $1,156.96 / $8,229.00	Facility		$114.17	$1,156.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $679.05 / $1,477.70	Professional		$114.17	$679.05	$1,477.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $758.25 / $1,149.27	Professional		$111.89	$758.25	$1,149.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.31 / $154.13 / $177.82	Facility		$112.31	$154.13	$177.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $159.13 / $1,571.50	Professional		$120.04	$159.13	$1,571.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $202.58 / $202.58	Facility		$202.58	$202.58	$202.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $837.08 / $1,811.60	Professional		$129.01	$837.08	$1,811.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,132.45	Professional		$32.34	$32.34	$1,132.45
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.89 / $1,324.15 / $2,182.08	Professional		$964.89	$1,324.15	$2,182.08