Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.12 / $880.73 / $2,747.00	Facility		$560.12	$880.73	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.12 / $648.28 / $880.73	Professional		$560.12	$648.28	$880.73
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 $498.31 / $603.84 / $913.51	Professional		$498.31	$603.84	$913.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.92 / $848.69 / $979.03	Facility		$601.92	$848.69	$979.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $848.69 / $1,212.42	Professional		$592.57	$848.69	$1,212.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.76 / $768.76 / $867.25	Facility		$768.76	$768.76	$867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.64 / $874.73 / $1,272.27	Professional		$628.64	$874.73	$1,272.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $788.07	Professional		$32.34	$32.34	$788.07
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 $577.32 / $824.75 / $1,188.65	Professional		$577.32	$824.75	$1,188.65