Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $1,097.60 / $2,747.00	Facility		$611.16	$1,097.60	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.42 / $712.22 / $1,097.60	Professional		$550.42	$712.22	$1,097.60
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 $548.58 / $664.75 / $986.81	Professional		$548.58	$664.75	$986.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.07 / $949.31 / $1,095.09	Facility		$661.07	$949.31	$1,095.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.08 / $949.31 / $1,356.16	Professional		$678.08	$949.31	$1,356.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $1,080.80	Facility		$835.48	$835.48	$1,080.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $1,007.63 / $1,427.74	Professional		$692.28	$1,007.63	$1,427.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $881.50	Professional		$32.34	$32.34	$881.50
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.73 / $949.06 / $1,363.14	Professional		$669.73	$949.06	$1,363.14