Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.53 / $806.78 / $2,747.00	Facility		$521.53	$806.78	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $607.80 / $806.78	Professional		$521.53	$607.80	$806.78
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 $492.24 / $602.57 / $880.51	Professional		$492.24	$602.57	$880.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.24 / $809.98 / $934.38	Facility		$564.24	$809.98	$934.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $799.46 / $1,157.11	Professional		$636.41	$799.46	$1,157.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $794.42	Facility		$713.47	$713.47	$794.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.60 / $841.42 / $1,290.59	Professional		$605.60	$841.42	$1,290.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $752.13	Professional		$32.34	$32.34	$752.13
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.17 / $772.66 / $1,167.09	Professional		$569.17	$772.66	$1,167.09