Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.55 / $1,132.26 / $5,320.00	Facility		$592.55	$1,132.26	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.55 / $690.66 / $1,132.26	Professional		$592.55	$690.66	$1,132.26
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 $561.00 / $679.81 / $1,098.20	Professional		$561.00	$679.81	$1,098.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.27 / $920.54 / $1,061.91	Facility		$640.27	$920.54	$1,061.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $723.28 / $920.54 / $1,315.06	Professional		$723.28	$920.54	$1,315.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $861.31	Facility		$809.07	$809.07	$861.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.43 / $1,005.58 / $1,476.40	Professional		$671.43	$1,005.58	$1,476.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $854.79	Professional		$32.34	$32.34	$854.79
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.37 / $924.64 / $1,437.00	Professional		$633.37	$924.64	$1,437.00