Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $927.18 / $2,747.00	Facility		$617.39	$927.18	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.39 / $719.26 / $1,099.91	Professional		$617.39	$719.26	$1,099.91
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 $559.25 / $665.72 / $1,039.71	Professional		$559.25	$665.72	$1,039.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.64 / $958.89 / $1,106.14	Facility		$666.64	$958.89	$1,106.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $669.51 / $958.89 / $1,369.84	Professional		$669.51	$958.89	$1,369.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $912.97	Facility		$842.17	$842.17	$912.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.42 / $989.24 / $1,450.87	Professional		$718.42	$989.24	$1,450.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $890.40	Professional		$32.34	$32.34	$890.40
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.39 / $885.55 / $1,383.63	Professional		$614.39	$885.55	$1,383.63