Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $8,511.38	Facility		$812.83	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,445.44	Professional		$870.96	$1,023.29	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $8,511.38	Facility		$1,949.84	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,778.28	Professional		$741.31	$870.96	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,318.26	Facility		$831.76	$1,023.29	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,380.38	Professional		$812.83	$1,174.90	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,290.87	Facility		$1,122.02	$1,513.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $5,370.32	Professional		$851.14	$1,621.81	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,698.24	Professional		$794.33	$1,000.00	$1,698.24