Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $722.06 / $4,065.47	Facility		$719.07	$722.06	$4,065.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $731.20 / $914.00	Professional		$719.07	$731.20	$914.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.31 / $1,883.31 / $1,883.31	Facility		$1,883.31	$1,883.31	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $719.32 / $846.27	Professional		$100.00	$719.32	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,279.59 / $1,508.10	Facility		$914.00	$1,279.59	$1,508.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.40 / $1,233.90 / $1,828.00	Professional		$1,005.40	$1,233.90	$1,828.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $711.18 / $1,096.80	Facility		$594.10	$711.18	$1,096.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $1,028.07 / $4,405.47	Professional		$418.22	$1,028.07	$4,405.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $502.70 / $502.70 / $502.70	Professional		$502.70	$502.70	$502.70
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $914.00	Professional		$383.88	$548.40	$914.00