Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.15 / $1,033.54 / $5,320.00	Facility		$530.15	$1,033.54	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.15 / $618.86 / $1,033.54	Professional		$530.15	$618.86	$1,033.54
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 $546.26 / $661.95 / $968.57	Professional		$546.26	$661.95	$968.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.85 / $825.08 / $951.79	Facility		$575.85	$825.08	$951.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.08 / $825.08 / $1,178.68	Professional		$576.08	$825.08	$1,178.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.34 / $728.34 / $1,017.71	Facility		$728.34	$728.34	$1,017.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.77 / $931.94 / $1,328.79	Professional		$622.77	$931.94	$1,328.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $766.14	Professional		$32.34	$32.34	$766.14
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 $607.35 / $865.47 / $1,259.49	Professional		$607.35	$865.47	$1,259.49