Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $5,495.41	Facility		$537.03	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,000.00	Professional		$446.68	$537.03	$1,000.00
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 / $1,023.29	Professional		$457.09	$549.54	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $851.14	Facility		$478.63	$660.69	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $794.33	Professional		$489.78	$660.69	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $891.25 / $1,659.59	Facility		$794.33	$891.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $5,128.61	Professional		$588.84	$977.24	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $446.68 / $691.83 / $1,047.13	Professional		$446.68	$691.83	$1,047.13