Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $9,772.37	Facility		$758.58	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,318.26	Professional		$616.60	$758.58	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $10,964.78	Facility		$2,884.03	$4,466.84	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,023.29	Professional		$537.03	$630.96	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,174.90	Facility		$691.83	$1,000.00	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,202.26	Professional		$724.44	$1,023.29	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $1,348.96	Facility		$34.67	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $4,466.84	Professional		$758.58	$1,230.27	$4,466.84
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,479.11	Professional		$660.69	$870.96	$1,479.11