Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,513.56 / $5,495.41	Facility		$562.34	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,023.29	Professional		$489.78	$575.44	$1,023.29
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 $457.09 / $549.54 / $933.25	Professional		$457.09	$549.54	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,000.00	Facility		$512.86	$724.44	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $870.96	Professional		$512.86	$707.95	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,659.59	Facility		$977.24	$977.24	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $3,981.07	Professional		$588.84	$912.01	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,096.48	Professional		$489.78	$645.65	$1,096.48