Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.20 / $685.58 / $2,747.00	Facility		$501.20	$685.58	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.31 / $584.95 / $685.58	Professional		$495.31	$584.95	$685.58
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 $438.14 / $558.14 / $796.10	Professional		$438.14	$558.14	$796.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.69 / $780.09 / $899.90	Facility		$543.69	$780.09	$899.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.92 / $780.09 / $1,114.42	Professional		$612.92	$780.09	$1,114.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.08 / $687.42 / $687.42	Facility		$675.08	$687.42	$687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $789.57 / $1,121.10	Professional		$568.47	$789.57	$1,121.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $724.37	Professional		$32.34	$32.34	$724.37
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.80 / $719.52 / $1,117.21	Professional		$515.80	$719.52	$1,117.21