Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.17 / $4,354.78 / $9,952.46	Facility		$250.17	$4,354.78	$9,952.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.77 / $627.33 / $2,848.76	Professional		$214.77	$627.33	$2,848.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,798.00 / $7,480.00 / $13,776.00	Facility		$3,798.00	$7,480.00	$13,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $660.63 / $2,248.82	Professional		$299.13	$660.63	$2,248.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.43 / $318.39 / $375.26	Facility		$227.43	$318.39	$375.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.66 / $1,862.52 / $2,483.42	Professional		$295.66	$1,862.52	$2,483.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $418.47 / $418.47	Facility		$384.52	$418.47	$418.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $1,910.04 / $3,859.45	Professional		$348.58	$1,910.04	$3,859.45
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,605.55 / $2,497.86 / $3,510.82	Professional		$1,605.55	$2,497.86	$3,510.82