Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $5,495.41	Facility		$537.03	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $954.99	Professional		$446.68	$537.03	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $630.96	Professional		$363.08	$446.68	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $794.33	Facility		$416.87	$616.60	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $812.83	Professional		$446.68	$676.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,659.59	Facility		$912.01	$912.01	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $2,951.21	Professional		$489.78	$812.83	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
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 $416.87 / $549.54 / $1,000.00	Professional		$416.87	$549.54	$1,000.00