Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.32 / $740.46 / $2,747.00	Facility		$375.32	$740.46	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.32 / $438.93 / $740.46	Professional		$375.32	$438.93	$740.46
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 $375.49 / $455.01 / $668.61	Professional		$375.49	$455.01	$668.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.16 / $585.55 / $675.49	Facility		$410.16	$585.55	$675.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.26 / $585.55 / $836.52	Professional		$418.26	$585.55	$836.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $729.12	Facility		$517.42	$517.42	$729.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.56 / $656.56 / $928.26	Professional		$441.56	$656.56	$928.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.74	Professional		$32.34	$32.34	$543.74
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.37 / $615.02 / $905.91	Professional		$422.37	$615.02	$905.91