Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.18 / $758.26 / $3,740.00	Facility		$435.18	$758.26	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.18 / $521.80 / $658.80	Professional		$435.18	$521.80	$658.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.51 / $604.04 / $1,083.81	Professional		$438.51	$604.04	$1,083.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $494.26 / $601.83 / $702.63	Facility		$494.26	$601.83	$702.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $683.24 / $1,154.09	Professional		$484.57	$683.24	$1,154.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.90 / $891.61 / $1,111.00	Facility		$727.90	$891.61	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.99 / $700.34 / $1,332.53	Professional		$506.99	$700.34	$1,332.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $750.17	Professional		$32.34	$32.34	$750.17
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 $533.55 / $771.03 / $1,145.23	Professional		$533.55	$771.03	$1,145.23