Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.42 / $719.71 / $2,747.00	Facility		$480.42	$719.71	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.42 / $561.13 / $719.71	Professional		$480.42	$561.13	$719.71
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 $434.90 / $536.02 / $804.90	Professional		$434.90	$536.02	$804.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.99 / $751.49 / $866.89	Facility		$527.99	$751.49	$866.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.78 / $751.49 / $1,073.56	Professional		$536.78	$751.49	$1,073.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $708.68	Facility		$665.11	$665.11	$708.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.09 / $772.92 / $1,159.31	Professional		$558.09	$772.92	$1,159.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $697.81	Professional		$32.34	$32.34	$697.81
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.90 / $684.81 / $1,069.98	Professional		$500.90	$684.81	$1,069.98