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 / $1,023.29 / $1,202.26	Professional		$851.14	$1,023.29	$1,202.26
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 $812.83 / $954.99 / $1,288.25	Professional		$812.83	$954.99	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,348.96	Facility		$812.83	$1,122.02	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $1,513.56	Facility		$34.67	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $5,495.41	Professional		$933.25	$1,479.11	$5,495.41
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 $812.83 / $1,202.26 / $1,737.80	Professional		$812.83	$1,202.26	$1,737.80