Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.16 / $740.62 / $2,747.00	Facility		$501.16	$740.62	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.16 / $584.92 / $740.62	Professional		$501.16	$584.92	$740.62
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 $454.29 / $569.95 / $847.58	Professional		$454.29	$569.95	$847.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.19 / $779.24 / $898.91	Facility		$543.19	$779.24	$898.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $779.24 / $1,113.20	Professional		$556.60	$779.24	$1,113.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $729.28	Facility		$686.69	$686.69	$729.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.50 / $801.82 / $1,201.90	Professional		$569.50	$801.82	$1,201.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $723.58	Professional		$32.34	$32.34	$723.58
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 $527.90 / $734.75 / $1,117.14	Professional		$527.90	$734.75	$1,117.14