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 / $1,412.54	Professional		$630.96	$758.58	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $977.24	Professional		$602.56	$724.44	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,202.26	Facility		$676.08	$912.01	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,122.02	Professional		$741.31	$912.01	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Facility		$1,258.93	$1,258.93	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $4,073.80	Professional		$758.58	$1,230.27	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,479.11	Professional		$645.65	$870.96	$1,479.11