Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.66 / $843.81 / $3,740.00	Facility		$631.66	$843.81	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.66 / $729.66 / $843.81	Professional		$631.66	$729.66	$843.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.15 / $562.54 / $724.22	Professional		$478.15	$562.54	$724.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $667.32 / $972.78 / $1,122.16	Facility		$667.32	$972.78	$1,122.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $762.63 / $940.66 / $1,389.68	Professional		$762.63	$940.66	$1,389.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $853.55	Facility		$853.55	$853.55	$853.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.98 / $1,019.60 / $1,493.13	Professional		$716.98	$1,019.60	$1,493.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $903.29	Professional		$32.34	$32.34	$903.29
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.35 / $978.10 / $1,422.36	Professional		$706.35	$978.10	$1,422.36