Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $10,471.29	Facility		$891.25	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,819.70	Professional		$1,047.13	$1,202.26	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,096.48	Professional		$776.25	$912.01	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,290.87	Facility		$1,258.93	$1,737.80	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,137.96	Professional		$1,288.25	$1,737.80	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $2,398.83	Facility		$34.67	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,165.95 / $6,165.95	Professional		$1,258.93	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61
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 $776.25 / $1,148.15 / $2,187.76	Professional		$776.25	$1,148.15	$2,187.76