Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.27 / $783.37 / $2,747.00	Facility		$572.27	$783.37	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $665.94 / $783.37	Professional		$572.27	$665.94	$783.37
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 $513.62 / $652.41 / $977.00	Professional		$513.62	$652.41	$977.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.17 / $888.75 / $1,025.24	Facility		$618.17	$888.75	$1,025.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $888.75 / $1,269.64	Professional		$634.82	$888.75	$1,269.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.37 / $781.17 / $781.17	Facility		$771.37	$781.17	$781.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.75 / $918.92 / $1,388.72	Professional		$661.75	$918.92	$1,388.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $825.27	Professional		$32.34	$32.34	$825.27
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 $588.74 / $830.44 / $1,280.03	Professional		$588.74	$830.44	$1,280.03