Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,513.56 / $5,495.41	Facility		$416.87	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $776.25	Professional		$354.81	$416.87	$776.25
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 $288.40 / $354.81 / $512.86	Professional		$288.40	$354.81	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $707.95	Facility		$363.08	$501.19	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $616.60	Professional		$338.84	$501.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $1,659.59	Facility		$426.58	$691.83	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $2,454.71	Professional		$380.19	$602.56	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $331.13 / $446.68 / $758.58	Professional		$331.13	$446.68	$758.58