Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $3,890.45	Facility		$588.84	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,380.38	Professional		$645.65	$794.33	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $831.76	Professional		$446.68	$537.03	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $1,000.00	Facility		$630.96	$794.33	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,023.29	Professional		$630.96	$851.14	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,148.15 / $1,148.15	Facility		$34.67	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $3,981.07	Professional		$645.65	$1,047.13	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
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 $575.44 / $812.83 / $1,412.54	Professional		$575.44	$812.83	$1,412.54