Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $5,495.41	Facility		$794.33	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,698.24	Professional		$831.76	$954.99	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,258.93	Professional		$724.44	$870.96	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,548.82	Facility		$870.96	$1,202.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,479.11	Professional		$891.25	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,897.79	Professional		$977.24	$1,584.89	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,737.80	Professional		$794.33	$1,122.02	$1,737.80