Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.96 / $1,030.51 / $2,747.00	Facility		$468.96	$1,030.51	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.96 / $547.52 / $1,030.51	Professional		$468.96	$547.52	$1,030.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.79 / $593.52 / $910.09	Professional		$489.79	$593.52	$910.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.62 / $729.23 / $841.23	Facility		$508.62	$729.23	$841.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.88 / $720.59 / $1,041.76	Professional		$520.88	$720.59	$1,041.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $643.16 / $1,014.72	Facility		$643.16	$643.16	$1,014.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $827.00 / $1,224.40	Professional		$555.20	$827.00	$1,224.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.14	Professional		$32.34	$32.34	$677.14
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 $537.69 / $766.21 / $1,129.56	Professional		$537.69	$766.21	$1,129.56