Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $8,511.38	Facility		$724.44	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,288.25	Professional		$724.44	$851.14	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,096.48	Professional		$676.08	$812.83	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,122.02	Facility		$691.83	$954.99	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,148.15	Professional		$630.96	$977.24	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $1,288.25	Facility		$34.67	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $4,466.84	Professional		$741.31	$1,288.25	$4,466.84
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,445.44	Professional		$660.69	$1,000.00	$1,445.44