Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $13,803.84	Facility		$851.14	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,148.15	Professional		$794.33	$912.01	$1,148.15
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 $794.33 / $933.25 / $1,258.93	Professional		$794.33	$933.25	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,380.38	Facility		$831.76	$1,148.15	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,412.54	Professional		$831.76	$1,148.15	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $1,548.82	Facility		$34.67	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $5,248.07	Professional		$933.25	$1,548.82	$5,248.07
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 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80