Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $1,175.02 / $6,615.84	Facility		$58.00	$1,175.02	$6,615.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.02 / $1,219.64 / $1,487.37	Professional		$1,175.02	$1,219.64	$1,487.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $1,338.63 / $1,563.23	Facility		$34.22	$1,338.63	$1,563.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $34.22 / $594.95	Professional		$30.79	$34.22	$594.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $2,082.32 / $2,454.16	Facility		$1,487.37	$2,082.32	$2,454.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,933.58 / $3,346.58	Professional		$1,487.37	$1,933.58	$3,346.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $966.79 / $1,135.01 / $1,784.84	Facility		$966.79	$1,135.01	$1,784.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $1,708.99 / $7,169.12	Professional		$680.42	$1,708.99	$7,169.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $818.05 / $818.05 / $818.05	Professional		$818.05	$818.05	$818.05
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $892.42 / $1,636.11	Professional		$624.70	$892.42	$1,636.11