Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.77 / $1,204.11 / $5,320.00	Facility		$649.77	$1,204.11	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.77 / $757.31 / $1,204.11	Professional		$649.77	$757.31	$1,204.11
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 $536.83 / $674.49 / $1,113.40	Professional		$536.83	$674.49	$1,113.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $702.11 / $1,009.54 / $1,164.58	Facility		$702.11	$1,009.54	$1,164.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $793.21 / $1,009.54 / $1,442.20	Professional		$793.21	$1,009.54	$1,442.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $886.81 / $897.94	Facility		$886.81	$886.81	$897.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.49 / $1,050.21 / $1,617.13	Professional		$742.49	$1,050.21	$1,617.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $937.43	Professional		$32.34	$32.34	$937.43
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.59 / $911.01 / $1,458.67	Professional		$599.59	$911.01	$1,458.67