Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $1,132.13 / $2,747.00	Facility		$388.83	$1,132.13	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.96 / $934.65 / $1,583.51	Professional		$370.96	$934.65	$1,583.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $832.02 / $1,512.21	Professional		$321.05	$832.02	$1,512.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.62 / $494.87 / $584.00	Facility		$405.62	$494.87	$584.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.64 / $565.57 / $1,766.41	Professional		$420.64	$565.57	$1,766.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.40 / $650.40 / $650.40	Facility		$650.40	$650.40	$650.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.64 / $1,248.99 / $2,327.34	Professional		$410.64	$1,248.99	$2,327.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.27 / $1,929.26 / $2,410.82	Professional		$1,256.27	$1,929.26	$2,410.82