Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.77 / $932.45 / $2,747.00	Facility		$575.77	$932.45	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $666.07 / $932.45	Professional		$575.77	$666.07	$932.45
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 $510.31 / $618.38 / $910.40	Professional		$510.31	$618.38	$910.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.15 / $873.75 / $1,007.93	Facility		$617.15	$873.75	$1,007.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $624.11 / $873.75 / $1,248.22	Professional		$624.11	$873.75	$1,248.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $918.17	Facility		$789.63	$789.63	$918.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $883.85 / $1,309.35	Professional		$638.26	$883.85	$1,309.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $811.34	Professional		$32.34	$32.34	$811.34
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 $578.61 / $826.59 / $1,218.89	Professional		$578.61	$826.59	$1,218.89