Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,513.56 / $5,495.41	Facility		$426.58	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $891.25 / $1,698.24	Professional		$346.74	$891.25	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $676.08 / $1,148.15	Professional		$288.40	$676.08	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $478.63	Facility		$281.84	$398.11	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $489.78	Professional		$323.59	$416.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,659.59	Facility		$549.54	$549.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,174.90 / $5,128.61	Professional		$363.08	$1,174.90	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $15,135.61	Facility		$977.24	$5,011.87	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $741.31 / $1,819.70	Professional		$346.74	$741.31	$1,819.70