Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.82 / $1,016.25 / $2,747.00	Facility		$506.82	$1,016.25	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.82 / $590.82 / $1,016.25	Professional		$506.82	$590.82	$1,016.25
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 $469.82 / $580.52 / $891.91	Professional		$469.82	$580.52	$891.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.92 / $787.91 / $908.90	Facility		$548.92	$787.91	$908.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $787.91 / $1,125.58	Professional		$562.79	$787.91	$1,125.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $1,000.68	Facility		$694.13	$694.13	$1,000.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.84 / $810.78 / $1,249.05	Professional		$585.84	$810.78	$1,249.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $731.63	Professional		$32.34	$32.34	$731.63
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.51 / $779.09 / $1,223.57	Professional		$553.51	$779.09	$1,223.57