Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $10,471.29	Facility		$891.25	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,258.93	Professional		$891.25	$1,071.52	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,715.19 / $11,220.18	Facility		$6,456.54	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,348.96	Professional		$851.14	$1,000.00	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,412.54	Facility		$851.14	$1,174.90	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,445.44	Professional		$794.33	$1,202.26	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $1,584.89	Facility		$34.67	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $5,888.44	Professional		$977.24	$1,548.82	$5,888.44
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 $851.14 / $1,230.27 / $1,819.70	Professional		$851.14	$1,230.27	$1,819.70