Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $5,495.41	Facility		$794.33	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,659.59	Professional		$691.83	$831.76	$1,659.59
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 $602.56 / $724.44 / $1,000.00	Professional		$602.56	$724.44	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,288.25	Facility		$724.44	$1,000.00	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,230.27	Professional		$812.83	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,659.59	Facility		$1,122.02	$1,380.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $4,570.88	Professional		$794.33	$1,288.25	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
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 $645.65 / $870.96 / $1,513.56	Professional		$645.65	$870.96	$1,513.56