Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.51 / $1,152.70 / $8,229.00	Facility		$557.51	$1,152.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.51 / $647.87 / $1,152.70	Professional		$557.51	$647.87	$1,152.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.48 / $709.46 / $1,028.83	Professional		$585.48	$709.46	$1,028.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $606.12 / $867.43 / $1,000.64	Facility		$606.12	$867.43	$1,000.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.65 / $867.43 / $1,239.18	Professional		$605.65	$867.43	$1,239.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $1,135.04	Facility		$763.31	$763.31	$1,135.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.34 / $977.00 / $1,431.58	Professional		$671.34	$977.00	$1,431.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $805.47	Professional		$32.34	$32.34	$805.47
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 $649.41 / $916.26 / $1,349.64	Professional		$649.41	$916.26	$1,349.64