Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $1,171.31 / $3,876.36	Facility		$314.44	$1,171.31	$3,876.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $764.45 / $1,779.94	Professional		$337.10	$764.45	$1,779.94
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 $280.72 / $896.46 / $1,632.48	Professional		$280.72	$896.46	$1,632.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.01 / $400.19 / $472.26	Facility		$328.01	$400.19	$472.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $457.36 / $2,062.71	Professional		$285.85	$457.36	$2,062.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.96 / $525.96 / $525.96	Facility		$525.96	$525.96	$525.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.23 / $1,285.92 / $2,349.13	Professional		$338.23	$1,285.92	$2,349.13
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 $1,270.26 / $1,817.72 / $2,380.00	Professional		$1,270.26	$1,817.72	$2,380.00