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 $912.01 / $1,071.52 / $1,479.11	Professional		$912.01	$1,071.52	$1,479.11
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 $660.69 / $776.25 / $1,445.44	Professional		$660.69	$776.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,348.96	Facility		$851.14	$1,047.13	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,412.54	Professional		$851.14	$1,148.15	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility		$1,548.82	$1,548.82	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $4,897.79	Professional		$741.31	$1,445.44	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
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 $707.95 / $933.25 / $1,621.81	Professional		$707.95	$933.25	$1,621.81