Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.35 / $787.00 / $3,740.00	Facility		$435.35	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.35 / $505.13 / $1,015.90	Professional		$435.35	$505.13	$1,015.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.45 / $525.95 / $670.23	Professional		$430.45	$525.95	$670.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.26 / $672.97 / $776.32	Facility		$469.26	$672.97	$776.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.69 / $672.97 / $961.38	Professional		$480.69	$672.97	$961.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.48 / $699.93 / $1,025.58	Professional		$491.48	$699.93	$1,025.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $624.90	Professional		$32.34	$32.34	$624.90
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.18 / $688.12 / $1,030.05	Professional		$503.18	$688.12	$1,030.05