Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.86 / $1,165.16 / $2,747.00	Facility		$601.86	$1,165.16	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.86 / $701.41 / $1,165.16	Professional		$601.86	$701.41	$1,165.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $730.68 / $1,091.74	Professional		$602.99	$730.68	$1,091.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.41 / $934.72 / $1,078.27	Facility		$650.41	$934.72	$1,078.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.64 / $920.58 / $1,335.32	Professional		$652.64	$920.58	$1,335.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $1,147.32	Facility		$821.71	$821.71	$1,147.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.87 / $1,056.90 / $1,491.88	Professional		$681.87	$1,056.90	$1,491.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $867.96	Professional		$32.34	$32.34	$867.96
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 $694.88 / $959.19 / $1,387.77	Professional		$694.88	$959.19	$1,387.77