Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $8,511.38	Facility		$741.31	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,000.00	Professional		$691.83	$831.76	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $13,182.57	Facility		$8,128.31	$10,715.19	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,023.29	Professional		$630.96	$741.31	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,047.13	Facility		$645.65	$891.25	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,071.52	Professional		$588.84	$912.01	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $1,202.26	Facility		$34.67	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $4,265.80	Professional		$741.31	$1,174.90	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,412.54	Professional		$645.65	$933.25	$1,412.54