Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $13,803.84	Facility		$851.14	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,380.38	Professional		$812.83	$912.01	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,318.26	Professional		$812.83	$954.99	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,348.96	Facility		$831.76	$1,148.15	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,380.38	Professional		$758.58	$1,174.90	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $4,168.69	Facility		$1,071.52	$1,548.82	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $5,495.41	Professional		$954.99	$1,513.56	$5,495.41
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 $794.33 / $1,071.52 / $1,737.80	Professional		$794.33	$1,071.52	$1,737.80