Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.57 / $733.94 / $2,747.00	Facility		$544.57	$733.94	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.57 / $634.98 / $743.74	Professional		$544.57	$634.98	$743.74
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 $494.29 / $618.30 / $873.90	Professional		$494.29	$618.30	$873.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $590.23 / $847.59 / $977.76	Facility		$590.23	$847.59	$977.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.96 / $847.59 / $1,210.83	Professional		$665.96	$847.59	$1,210.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.70 / $746.20 / $746.20	Facility		$722.70	$746.20	$746.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.98 / $879.41 / $1,209.27	Professional		$630.98	$879.41	$1,209.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $787.05	Professional		$32.34	$32.34	$787.05
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 $573.58 / $779.63 / $1,217.28	Professional		$573.58	$779.63	$1,217.28