Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.59 / $1,523.13 / $5,320.00	Facility		$387.59	$1,523.13	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $1,499.11 / $2,177.32	Professional		$373.52	$1,499.11	$2,177.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.92 / $1,004.91 / $1,577.30	Professional		$276.92	$1,004.91	$1,577.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.40 / $493.29 / $569.04	Facility		$359.40	$493.29	$569.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $405.20 / $563.76 / $2,106.79	Professional		$405.20	$563.76	$2,106.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.32 / $648.32 / $648.32	Facility		$648.32	$648.32	$648.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $1,625.83 / $3,148.38	Professional		$416.94	$1,625.83	$3,148.38
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,639.22 / $2,337.14 / $3,247.40	Professional		$1,639.22	$2,337.14	$3,247.40