Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $3,890.45	Facility		$645.65	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,148.15	Professional		$630.96	$794.33	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,951.21	Facility		$1,148.15	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,023.29	Professional		$478.63	$562.34	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $912.01	Facility		$562.34	$691.83	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $933.25	Professional		$616.60	$794.33	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,659.59	Facility		$741.31	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $5,754.40	Professional		$575.44	$912.01	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,258.93	Professional		$537.03	$691.83	$1,258.93