Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.74 / $718.02 / $2,747.00	Facility		$468.74	$718.02	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.74 / $548.84 / $718.02	Professional		$468.74	$548.84	$718.02
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 $462.61 / $548.75 / $802.21	Professional		$462.61	$548.75	$802.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $510.91 / $732.06 / $844.49	Facility		$510.91	$732.06	$844.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.13 / $732.06 / $1,045.80	Professional		$511.13	$732.06	$1,045.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $707.02	Facility		$646.51	$646.51	$707.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $758.88 / $1,152.57	Professional		$553.74	$758.88	$1,152.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $679.77	Professional		$32.34	$32.34	$679.77
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 $501.07 / $726.38 / $1,064.77	Professional		$501.07	$726.38	$1,064.77