Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $668.30 / $2,747.00	Facility		$521.15	$668.30	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $608.32 / $712.68	Professional		$521.15	$608.32	$712.68
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 $455.76 / $579.20 / $808.74	Professional		$455.76	$579.20	$808.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.41 / $811.38 / $936.00	Facility		$565.41	$811.38	$936.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $566.52 / $811.38 / $1,159.11	Professional		$566.52	$811.38	$1,159.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.05 / $714.96 / $714.96	Facility		$658.05	$714.96	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.94 / $834.95 / $1,154.05	Professional		$600.94	$834.95	$1,154.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $753.43	Professional		$32.34	$32.34	$753.43
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 $555.78 / $779.68 / $1,162.02	Professional		$555.78	$779.68	$1,162.02