Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.23 / $1,278.10 / $5,320.00	Facility		$718.23	$1,278.10	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.23 / $1,164.05 / $1,323.29	Professional		$718.23	$1,164.05	$1,323.29
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 $486.34 / $583.76 / $1,588.12	Professional		$486.34	$583.76	$1,588.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.25 / $1,626.69 / $1,876.50	Facility		$1,126.25	$1,626.69	$1,876.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.92 / $1,626.69 / $2,323.84	Professional		$1,161.92	$1,626.69	$2,323.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.22 / $1,424.06 / $1,424.06	Facility		$707.22	$1,424.06	$1,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $1,031.92 / $2,077.65	Professional		$636.41	$1,031.92	$2,077.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,510.50	Professional		$32.34	$32.34	$1,510.50
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 $636.41 / $1,167.79 / $2,369.48	Professional		$636.41	$1,167.79	$2,369.48