Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.25 / $661.15 / $2,747.00	Facility		$510.25	$661.15	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.25 / $590.41 / $694.21	Professional		$510.25	$590.41	$694.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.27 / $621.13 / $814.08	Professional		$499.27	$621.13	$814.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $550.54 / $784.41 / $904.88	Facility		$550.54	$784.41	$904.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $614.86 / $784.41 / $1,120.58	Professional		$614.86	$784.41	$1,120.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.03 / $690.84 / $690.84	Facility		$651.03	$690.84	$690.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.82 / $831.78 / $1,165.96	Professional		$608.82	$831.78	$1,165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $728.38	Professional		$32.34	$32.34	$728.38
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.12 / $751.71 / $1,255.33	Professional		$567.12	$751.71	$1,255.33