Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $3,890.45	Facility		$478.63	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,071.52	Professional		$478.63	$575.44	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $707.95	Professional		$416.87	$501.19	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $891.25	Facility		$501.19	$691.83	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $851.14	Professional		$562.34	$691.83	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Facility		$933.25	$933.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $3,388.44	Professional		$562.34	$812.83	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,047.13	Professional		$467.74	$630.96	$1,047.13