Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $955.11 / $2,747.00	Facility		$649.17	$955.11	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.17 / $751.28 / $955.11	Professional		$649.17	$751.28	$955.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.24 / $714.03 / $1,047.69	Professional		$589.24	$714.03	$1,047.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.95 / $987.17 / $1,138.77	Facility		$694.95	$987.17	$1,138.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.25 / $987.17 / $1,410.24	Professional		$689.25	$987.17	$1,410.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $887.31 / $940.48	Facility		$887.31	$887.31	$940.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.57 / $998.10 / $1,497.36	Professional		$728.57	$998.10	$1,497.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $916.66	Professional		$32.34	$32.34	$916.66
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 $663.11 / $930.80 / $1,387.26	Professional		$663.11	$930.80	$1,387.26