Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.91 / $1,031.58 / $5,320.00	Facility		$593.91	$1,031.58	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $746.60 / $1,063.47	Professional		$602.41	$746.60	$1,063.47
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 $499.93 / $645.09 / $943.21	Professional		$499.93	$645.09	$943.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.77 / $815.55 / $952.13	Facility		$669.77	$815.55	$952.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.87 / $925.86 / $1,567.46	Professional		$641.87	$925.86	$1,567.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.33 / $1,208.22 / $1,587.00	Facility		$550.33	$1,208.22	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.94 / $847.30 / $1,505.09	Professional		$651.94	$847.30	$1,505.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,018.85	Professional		$32.34	$32.34	$1,018.85
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.18 / $896.47 / $1,398.49	Professional		$717.18	$896.47	$1,398.49