Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $5,495.41	Facility		$616.60	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,202.26	Professional		$524.81	$645.65	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $851.14	Professional		$501.19	$602.56	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,023.29	Facility		$575.44	$794.33	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $933.25	Professional		$588.84	$776.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,659.59	Facility		$1,071.52	$1,071.52	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $3,630.78	Professional		$645.65	$1,047.13	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
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 $524.81 / $741.31 / $1,230.27	Professional		$524.81	$741.31	$1,230.27