Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $712.25 / $3,740.00	Facility		$479.00	$712.25	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $572.28 / $790.15	Professional		$487.37	$572.28	$790.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.46 / $541.70 / $771.29	Professional		$448.46	$541.70	$771.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.04 / $750.11 / $865.30	Facility		$524.04	$750.11	$865.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.79 / $750.11 / $1,162.35	Professional		$535.79	$750.11	$1,162.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.47 / $985.85 / $985.85	Facility		$617.47	$985.85	$985.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.29 / $785.62 / $1,172.24	Professional		$559.29	$785.62	$1,172.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $755.53	Professional		$32.34	$32.34	$755.53
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $791.18 / $3,176.00	Facility		$50.00	$791.18	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.91 / $795.62 / $1,142.75	Professional		$549.91	$795.62	$1,142.75