Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $13,803.84	Facility		$851.14	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,096.48	Professional		$776.25	$933.25	$1,096.48
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 $707.95 / $831.76 / $1,230.27	Professional		$707.95	$831.76	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,202.26	Facility		$724.44	$1,000.00	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,230.27	Professional		$724.44	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $1,348.96	Facility		$34.67	$1,288.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $5,128.61	Professional		$831.76	$1,348.96	$5,128.61
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 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,548.82	Professional		$707.95	$1,023.29	$1,548.82