Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.58 / $1,170.64 / $5,320.00	Facility		$625.58	$1,170.64	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.58 / $728.74 / $1,170.64	Professional		$625.58	$728.74	$1,170.64
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 $607.94 / $751.68 / $1,120.98	Professional		$607.94	$751.68	$1,120.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $972.62 / $1,121.99	Facility		$676.08	$972.62	$1,121.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.64 / $972.62 / $1,389.46	Professional		$764.64	$972.62	$1,389.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $1,152.70	Facility		$854.45	$854.45	$1,152.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.64 / $1,040.34 / $1,552.33	Professional		$730.64	$1,040.34	$1,552.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $903.15	Professional		$32.34	$32.34	$903.15
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.70 / $954.83 / $1,420.99	Professional		$699.70	$954.83	$1,420.99