Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.01 / $1,230.91 / $5,320.00	Facility		$442.01	$1,230.91	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.01 / $515.15 / $1,230.91	Professional		$442.01	$515.15	$1,230.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.84 / $590.99 / $1,064.97	Professional		$483.84	$590.99	$1,064.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.32 / $686.94 / $792.43	Facility		$477.32	$686.94	$792.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $539.74 / $686.94 / $981.34	Professional		$539.74	$686.94	$981.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $1,212.06	Facility		$602.99	$602.99	$1,212.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $875.92 / $1,424.40	Professional		$546.29	$875.92	$1,424.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $637.87	Professional		$32.34	$32.34	$637.87
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.87 / $806.72 / $1,159.33	Professional		$512.87	$806.72	$1,159.33