Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,511.38	Facility		$851.14	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,412.54	Professional		$870.96	$1,023.29	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,258.93	Professional		$616.60	$741.31	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,318.26	Facility		$812.83	$1,000.00	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,348.96	Professional		$812.83	$1,148.15	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,290.87	Facility		$1,513.56	$1,513.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $4,677.35	Professional		$707.95	$1,380.38	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,548.82	Professional		$676.08	$851.14	$1,548.82