Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $652.90 / $2,747.00	Facility		$453.27	$652.90	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.27 / $528.92 / $652.90	Professional		$453.27	$528.92	$652.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,389.00 / $8,517.00	Facility		$1,643.00	$3,389.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $512.66 / $758.60	Professional		$415.97	$512.66	$758.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.17 / $705.29 / $813.60	Facility		$491.17	$705.29	$813.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.78 / $705.29 / $1,007.56	Professional		$503.78	$705.29	$1,007.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $642.90	Facility		$620.84	$620.84	$642.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $725.64 / $1,007.51	Professional		$514.08	$725.64	$1,007.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $654.91	Professional		$32.34	$32.34	$654.91
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 $489.81 / $653.98 / $1,033.83	Professional		$489.81	$653.98	$1,033.83