Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.79 / $925.11 / $2,747.00	Facility		$596.79	$925.11	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $695.92 / $925.11	Professional		$596.79	$695.92	$925.11
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 $553.65 / $691.36 / $1,008.82	Professional		$553.65	$691.36	$1,008.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.68 / $927.40 / $1,069.83	Facility		$675.68	$927.40	$1,069.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $728.67 / $927.40 / $1,324.86	Professional		$728.67	$927.40	$1,324.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $910.95	Facility		$815.40	$815.40	$910.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.42 / $979.79 / $1,476.39	Professional		$692.42	$979.79	$1,476.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $861.16	Professional		$32.34	$32.34	$861.16
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 $626.42 / $890.68 / $1,335.54	Professional		$626.42	$890.68	$1,335.54