Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,265.80 / $15,135.61	Facility		$537.03	$4,265.80	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,479.11	Professional		$524.81	$870.96	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $13,182.57	Facility		$3,981.07	$6,760.83	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,513.56	Professional		$851.14	$1,023.29	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $831.76	Facility		$501.19	$691.83	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $851.14	Professional		$562.34	$724.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $3,311.31	Facility		$933.25	$933.25	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,309.57	Professional		$812.83	$1,584.89	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $954.99 / $1,288.25 / $2,041.74	Professional		$954.99	$1,288.25	$2,041.74