Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,818.38 / $10,471.29	Facility		$831.76	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,174.90	Professional		$758.58	$851.14	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,174.90	Professional		$758.58	$891.25	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,288.25	Facility		$776.25	$1,071.52	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,318.26	Professional		$870.96	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,174.90 / $1,479.11	Facility		$34.67	$1,174.90	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $5,128.61	Professional		$891.25	$1,445.44	$5,128.61
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 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,659.59	Professional		$758.58	$1,122.02	$1,659.59