Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $2,565.87 / $3,740.00	Facility		$155.90	$2,565.87	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $271.55 / $3,712.82	Professional		$155.90	$271.55	$3,712.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $2,513.21 / $3,693.11	Professional		$142.78	$2,513.21	$3,693.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $212.37 / $244.99	Facility		$154.72	$212.37	$244.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $219.95 / $3,606.34	Professional		$174.44	$219.95	$3,606.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.11 / $279.11 / $279.11	Facility		$279.11	$279.11	$279.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.72 / $2,500.63 / $6,287.82	Professional		$177.72	$2,500.63	$6,287.82
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.97 / $4,430.16 / $5,793.87	Professional		$3,184.97	$4,430.16	$5,793.87