Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,949.84 / $9,120.11	Facility		$489.78	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,023.29	Professional		$436.52	$645.65	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $870.96	Professional		$346.74	$407.38	$870.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $616.60 / $1,288.25	Professional	50	$524.81	$616.60	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Facility		$407.38	$501.19	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $676.08	Professional		$371.54	$575.44	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $2,511.89	Facility		$602.56	$758.58	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $3,630.78	Professional		$416.87	$707.95	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
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 $389.05 / $549.54 / $1,000.00	Professional		$389.05	$549.54	$1,000.00