Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,890.45	Facility		$691.83	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,174.90	Professional		$575.44	$691.83	$1,174.90
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 $489.78 / $602.56 / $933.25	Professional		$489.78	$602.56	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,071.52	Facility		$602.56	$812.83	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,000.00	Professional		$660.69	$812.83	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,318.26	Facility		$758.58	$1,122.02	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $4,570.88	Professional		$660.69	$1,071.52	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,230.27	Professional		$537.03	$758.58	$1,230.27