Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.73 / $1,073.48 / $2,747.00	Facility		$307.73	$1,073.48	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $1,001.74 / $1,473.41	Professional		$295.47	$1,001.74	$1,473.41
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 $252.86 / $788.97 / $1,449.20	Professional		$252.86	$788.97	$1,449.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.01 / $391.65 / $462.18	Facility		$288.01	$391.65	$462.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $447.60 / $1,912.96	Professional		$321.70	$447.60	$1,912.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.74 / $514.74 / $514.74	Facility		$514.74	$514.74	$514.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $1,169.22 / $2,044.02	Professional		$321.69	$1,169.22	$2,044.02
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 $1,077.24 / $1,484.24 / $2,020.96	Professional		$1,077.24	$1,484.24	$2,020.96