Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,818.38 / $8,511.38	Facility		$794.33	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,380.38	Professional		$870.96	$1,023.29	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $9,120.11 / $11,220.18	Facility		$3,019.95	$9,120.11	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,318.26	Professional		$776.25	$912.01	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,513.56	Facility		$870.96	$1,258.93	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,548.82	Professional		$851.14	$1,288.25	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,698.24 / $1,698.24	Facility		$34.67	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $5,248.07	Professional		$977.24	$1,479.11	$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 $891.25 / $1,202.26 / $1,862.09	Professional		$891.25	$1,202.26	$1,862.09