Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $5,495.41	Facility		$707.95	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,230.27	Professional		$630.96	$758.58	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $4,365.16	Facility		$1,584.89	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,122.02	Professional		$645.65	$758.58	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $1,000.00	Facility		$676.08	$851.14	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,148.15	Professional		$616.60	$977.24	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,659.59	Facility		$954.99	$1,288.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $4,570.88	Professional		$707.95	$954.99	$4,570.88
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 $741.31 / $2,187.76 / $8,511.38	Facility		$741.31	$2,187.76	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,380.38	Professional		$660.69	$851.14	$1,380.38