Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,778.28 / $8,128.31	Facility		$676.08	$1,778.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,148.15	Professional		$616.60	$758.58	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $977.24	Professional		$575.44	$676.08	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Facility		$645.65	$812.83	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,096.48	Professional		$660.69	$933.25	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,862.09	Facility		$977.24	$1,230.27	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $4,365.16	Professional		$691.83	$954.99	$4,365.16
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,412.54	Professional		$660.69	$851.14	$1,412.54