Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.34 / $1,405.46 / $5,320.00	Facility		$228.34	$1,405.46	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $1,400.10 / $2,747.85	Professional		$219.55	$1,400.10	$2,747.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $1,142.09 / $1,894.74	Professional		$216.14	$1,142.09	$1,894.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.73 / $290.61 / $335.24	Facility		$211.73	$290.61	$335.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $290.61 / $415.16	Professional		$226.85	$290.61	$415.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.95 / $381.95 / $381.95	Facility		$381.95	$381.95	$381.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $1,684.70 / $3,515.20	Professional		$269.19	$1,684.70	$3,515.20
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,660.95 / $2,284.82 / $3,993.33	Professional		$1,660.95	$2,284.82	$3,993.33