Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $860.00 / $3,740.00	Facility		$456.13	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $532.32 / $575.34	Professional		$456.13	$532.32	$575.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,389.00 / $8,584.00 / $14,014.53	Facility		$3,389.00	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.77 / $496.55 / $708.32	Professional		$412.77	$496.55	$708.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $494.70 / $710.07 / $819.11	Facility		$494.70	$710.07	$819.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.48 / $710.07 / $1,014.38	Professional		$558.48	$710.07	$1,014.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.28 / $707.07 / $1,039.78	Professional		$517.28	$707.07	$1,039.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.35	Professional		$32.34	$32.34	$659.35
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 $475.93 / $647.75 / $1,013.03	Professional		$475.93	$647.75	$1,013.03