Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.57 / $1,316.79 / $7,909.08	Facility		$618.57	$1,316.79	$7,909.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.53 / $719.56 / $1,673.96	Professional		$631.53	$719.56	$1,673.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $753.88 / $958.75	Professional		$617.78	$753.88	$958.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.32 / $957.42 / $1,104.45	Facility		$658.32	$957.42	$1,104.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.26 / $929.42 / $1,367.74	Professional		$752.26	$929.42	$1,367.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.42 / $1,006.36 / $1,461.63	Professional		$699.42	$1,006.36	$1,461.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $889.03	Professional		$32.34	$32.34	$889.03
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.60 / $961.46 / $1,461.51	Professional		$727.60	$961.46	$1,461.51