Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.42 / $1,078.01 / $10,152.00	Facility		$891.42	$1,078.01	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.42 / $920.58 / $1,097.13	Professional		$891.42	$920.58	$1,097.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.09 / $978.01 / $1,332.60	Professional		$807.09	$978.01	$1,332.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $1,169.83 / $1,349.48	Facility		$852.80	$1,169.83	$1,349.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $943.91 / $1,169.83 / $1,880.08	Professional		$943.91	$1,169.83	$1,880.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.70 / $1,025.95 / $1,025.95	Facility		$907.70	$1,025.95	$1,025.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.34 / $1,282.67 / $1,950.04	Professional		$875.34	$1,282.67	$1,950.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.67 / $1,196.82 / $1,771.09	Professional		$825.67	$1,196.82	$1,771.09