Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.71 / $1,265.77 / $5,320.00	Facility		$663.71	$1,265.77	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.71 / $754.22 / $1,187.89	Professional		$663.71	$754.22	$1,187.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.71 / $712.60 / $1,037.06	Professional		$605.71	$712.60	$1,037.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $749.22 / $912.29 / $1,065.07	Facility		$749.22	$912.29	$1,065.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $668.06 / $1,028.33 / $1,469.06	Professional		$668.06	$1,028.33	$1,469.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.65 / $899.04 / $1,587.00	Facility		$754.65	$899.04	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.20 / $903.14 / $1,507.54	Professional		$749.20	$903.14	$1,507.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $954.89	Professional		$32.34	$32.34	$954.89
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.89 / $829.70 / $1,317.79	Professional		$672.89	$829.70	$1,317.79