Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $5,495.41	Facility		$776.25	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,513.56	Professional		$645.65	$870.96	$1,513.56
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 $380.19 / $467.74 / $741.31	Professional		$380.19	$467.74	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,174.90	Facility		$676.08	$912.01	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,071.52	Professional		$616.60	$891.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $4,365.16	Professional		$562.34	$1,000.00	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
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 $524.81 / $776.25 / $1,380.38	Professional		$524.81	$776.25	$1,380.38