Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,818.38 / $9,772.37	Facility		$660.69	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,148.15	Professional		$645.65	$741.31	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,000.00	Professional		$616.60	$741.31	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,023.29	Facility		$630.96	$870.96	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,047.13	Professional		$616.60	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $977.24 / $1,174.90	Facility		$34.67	$977.24	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $4,365.16	Professional		$691.83	$1,174.90	$4,365.16
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 $602.56 / $891.25 / $1,288.25	Professional		$602.56	$891.25	$1,288.25