Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $1,394.02 / $2,747.00	Facility		$438.18	$1,394.02	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.23 / $1,370.84 / $1,533.46	Professional		$397.23	$1,370.84	$1,533.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,798.00 / $7,212.00 / $13,776.00	Facility		$3,798.00	$7,212.00	$13,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $1,236.00 / $2,377.77	Professional		$387.95	$1,236.00	$2,377.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.92 / $588.46 / $678.83	Facility		$430.92	$588.46	$678.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $609.48 / $2,108.17	Professional		$462.36	$609.48	$2,108.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.41 / $773.41 / $773.41	Facility		$773.41	$773.41	$773.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.86 / $1,919.78 / $3,345.62	Professional		$481.86	$1,919.78	$3,345.62
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.29 / $2,611.78 / $3,419.45	Professional		$1,670.29	$2,611.78	$3,419.45