Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.24 / $1,044.49 / $2,747.00	Facility		$574.24	$1,044.49	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.24 / $668.22 / $1,044.49	Professional		$574.24	$668.22	$1,044.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.25 / $715.25 / $1,029.69	Professional		$590.25	$715.25	$1,029.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.52 / $892.16 / $1,029.17	Facility		$620.52	$892.16	$1,029.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.99 / $892.16 / $1,274.52	Professional		$700.99	$892.16	$1,274.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $1,028.48	Facility		$784.14	$784.14	$1,028.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.93 / $1,006.99 / $1,447.41	Professional		$678.93	$1,006.99	$1,447.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $828.44	Professional		$32.34	$32.34	$828.44
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.84 / $941.23 / $1,357.05	Professional		$662.84	$941.23	$1,357.05