Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $5,495.41	Facility		$741.31	$1,479.11	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,698.24	Professional		$707.95	$912.01	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,071.52	Professional		$676.08	$794.33	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Facility		$758.58	$954.99	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,288.25	Professional		$691.83	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Facility		$1,412.54	$1,412.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $4,786.30	Professional		$776.25	$1,096.48	$4,786.30
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 $724.44 / $933.25 / $1,584.89	Professional		$724.44	$933.25	$1,584.89