Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,818.38 / $8,511.38	Facility		$426.58	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,318.26 / $2,137.96	Professional		$426.58	$1,318.26	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,311.31	Professional		$2,041.74	$2,398.83	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $10,471.29 / $46,773.51	Facility		$724.44	$10,471.29	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $9,332.54 / $16,218.10	Professional		$724.44	$9,332.54	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
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 $1,659.59 / $2,630.27 / $3,630.78	Professional		$1,659.59	$2,630.27	$3,630.78