Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.77 / $673.82 / $2,747.00	Facility		$416.77	$673.82	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $486.67 / $673.82	Professional		$416.77	$486.67	$673.82
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 $403.52 / $484.84 / $667.60	Professional		$403.52	$484.84	$667.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.51 / $649.04 / $748.73	Facility		$453.51	$649.04	$748.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $509.97 / $649.04 / $927.22	Professional		$509.97	$649.04	$927.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $663.51	Facility		$573.98	$573.98	$663.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $670.46 / $938.27	Professional		$478.93	$670.46	$938.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $602.69	Professional		$32.34	$32.34	$602.69
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 $443.91 / $620.16 / $929.20	Professional		$443.91	$620.16	$929.20