Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,348.96	Professional		$933.25	$1,071.52	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $12,882.50	Facility		$8,128.31	$10,715.19	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,445.44	Professional		$870.96	$1,047.13	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,584.89	Facility		$954.99	$1,348.96	$1,584.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,621.81	Professional		$977.24	$1,380.38	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $1,819.70	Facility		$34.67	$1,621.81	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $6,309.57	Professional		$1,096.48	$1,737.80	$6,309.57
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 $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,041.74	Professional		$933.25	$1,380.38	$2,041.74