Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $687.97 / $2,747.00	Facility		$407.81	$687.97	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $620.04 / $723.73	Professional		$457.42	$620.04	$723.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.03 / $582.15 / $777.10	Professional		$483.03	$582.15	$777.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.56 / $635.71 / $733.34	Facility		$446.56	$635.71	$733.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.22 / $636.85 / $908.16	Professional		$495.22	$636.85	$908.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.39 / $835.51 / $835.51	Facility		$630.39	$835.51	$835.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.83 / $810.23 / $1,202.28	Professional		$584.83	$810.23	$1,202.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $327.22 / $687.97	Professional		$32.34	$327.22	$687.97
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 $615.85 / $890.45 / $1,378.25	Professional		$615.85	$890.45	$1,378.25