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 $776.25 / $891.25 / $1,698.24	Professional		$776.25	$891.25	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,288.25	Professional		$741.31	$891.25	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,445.44	Facility		$812.83	$1,122.02	$1,445.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,380.38	Professional		$912.01	$1,122.02	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,659.59	Facility		$1,479.11	$1,513.56	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $5,495.41	Professional		$954.99	$1,548.82	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,737.80	Professional		$776.25	$1,071.52	$1,737.80