Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.78 / $853.50 / $2,747.00	Facility		$497.78	$853.50	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.78 / $580.67 / $853.50	Professional		$497.78	$580.67	$853.50
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 $492.83 / $597.19 / $873.05	Professional		$492.83	$597.19	$873.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.41 / $774.07 / $892.94	Facility		$539.41	$774.07	$892.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.47 / $774.07 / $1,105.82	Professional		$540.47	$774.07	$1,105.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $840.43	Facility		$681.85	$681.85	$840.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.29 / $825.83 / $1,226.81	Professional		$579.29	$825.83	$1,226.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $718.78	Professional		$32.34	$32.34	$718.78
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 $543.60 / $759.00 / $1,132.11	Professional		$543.60	$759.00	$1,132.11