Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $692.34 / $2,747.00	Facility		$482.48	$692.34	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $562.13 / $692.34	Professional		$477.63	$562.13	$692.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.54 / $536.82 / $805.29	Professional		$440.54	$536.82	$805.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.65 / $749.91 / $865.07	Facility		$522.65	$749.91	$865.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.22 / $749.91 / $1,071.30	Professional		$589.22	$749.91	$1,071.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.02 / $661.02 / $681.74	Facility		$661.02	$661.02	$681.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.04 / $759.68 / $1,172.71	Professional		$550.04	$759.68	$1,172.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $696.35	Professional		$32.34	$32.34	$696.35
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $694.98 / $1,072.91	Professional		$500.51	$694.98	$1,072.91