Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.42 / $775.35 / $2,747.00	Facility		$420.42	$775.35	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.42 / $490.90 / $775.35	Professional		$420.42	$490.90	$775.35
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 $412.22 / $499.52 / $725.73	Professional		$412.22	$499.52	$725.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.40 / $654.63 / $755.16	Facility		$457.40	$654.63	$755.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.07 / $654.63 / $935.18	Professional		$457.07	$654.63	$935.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $763.47	Facility		$578.80	$578.80	$763.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $727.26 / $1,030.72	Professional		$489.21	$727.26	$1,030.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $607.87	Professional		$32.34	$32.34	$607.87
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 $464.05 / $671.98 / $949.65	Professional		$464.05	$671.98	$949.65