Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.45 / $697.58 / $2,747.00	Facility		$529.45	$697.58	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.87 / $602.78 / $770.35	Professional		$474.87	$602.78	$770.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.01 / $531.97 / $767.10	Professional		$439.01	$531.97	$767.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.50 / $643.53 / $751.30	Facility		$528.50	$643.53	$751.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.14 / $734.74 / $1,268.32	Professional		$518.14	$734.74	$1,268.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.59 / $953.38 / $1,829.00	Facility		$426.59	$953.38	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.49 / $671.79 / $1,091.50	Professional		$504.49	$671.79	$1,091.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $824.41	Professional		$32.34	$32.34	$824.41
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.20 / $714.57 / $1,153.96	Professional		$576.20	$714.57	$1,153.96