Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $8,511.38	Facility		$741.31	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,380.38	Professional		$616.60	$758.58	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $16,595.87	Facility		$8,912.51	$10,715.19	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $977.24	Professional		$562.34	$676.08	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,258.93	Facility		$691.83	$977.24	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,318.26 / $1,318.26	Facility		$34.67	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $3,890.45	Professional		$741.31	$1,202.26	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38