Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.13 / $840.43 / $2,747.00	Facility		$479.13	$840.43	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.13 / $558.58 / $939.37	Professional		$479.13	$558.58	$939.37
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 $459.16 / $552.15 / $813.56	Professional		$459.16	$552.15	$813.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.19 / $744.77 / $859.14	Facility		$519.19	$744.77	$859.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.17 / $744.77 / $1,063.96	Professional		$585.17	$744.77	$1,063.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $656.56 / $747.30	Facility		$656.56	$656.56	$747.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $766.45 / $1,178.05	Professional		$552.61	$766.45	$1,178.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $691.57	Professional		$32.34	$32.34	$691.57
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $2,600.00 / $12,296.00	Facility		$973.00	$2,600.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.79 / $715.04 / $1,065.69	Professional		$502.79	$715.04	$1,065.69