Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.99 / $1,542.42 / $9,952.46	Facility		$705.99	$1,542.42	$9,952.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.10 / $1,403.40 / $2,199.19	Professional		$683.10	$1,403.40	$2,199.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.52 / $1,380.45 / $2,295.63	Professional		$486.52	$1,380.45	$2,295.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.65 / $898.53 / $1,036.53	Facility		$654.65	$898.53	$1,036.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.75 / $1,026.90 / $2,051.25	Professional		$763.75	$1,026.90	$2,051.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.61 / $1,180.93 / $1,180.93	Facility		$715.61	$1,180.93	$1,180.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.02 / $1,541.95 / $4,016.72	Professional		$721.02	$1,541.95	$4,016.72
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.84 / $2,659.57 / $3,684.91	Professional		$1,632.84	$2,659.57	$3,684.91