Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,000.00 / $3,890.45	Facility		$416.87	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $870.96	Professional		$416.87	$489.78	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $660.69	Professional		$371.54	$446.68	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $724.44	Facility		$380.19	$549.54	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $741.31	Professional		$407.38	$602.56	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,318.26	Facility		$512.86	$812.83	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	54	$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $3,162.28	Professional		$478.63	$724.44	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
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 $398.11 / $537.03 / $912.01	Professional		$398.11	$537.03	$912.01