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 / $1,000.00 / $1,288.25	Professional		$870.96	$1,000.00	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,715.19 / $11,220.18	Facility		$6,165.95	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,288.25	Professional		$794.33	$933.25	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,479.11	Facility		$870.96	$1,258.93	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56
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 $1,023.29 / $1,584.89 / $5,128.61	Professional		$1,023.29	$1,584.89	$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 / $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 / $1,148.15 / $1,862.09	Professional		$891.25	$1,148.15	$1,862.09