Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.99 / $694.50 / $2,747.00	Facility		$485.99	$694.50	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.99 / $566.97 / $694.50	Professional		$485.99	$566.97	$694.50
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 $432.42 / $530.51 / $791.53	Professional		$432.42	$530.51	$791.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.30 / $756.08 / $872.20	Facility		$526.30	$756.08	$872.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.05 / $756.08 / $1,080.11	Professional		$540.05	$756.08	$1,080.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $683.86	Facility		$665.11	$665.11	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.88 / $763.34 / $1,102.17	Professional		$559.88	$763.34	$1,102.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $702.08	Professional		$32.34	$32.34	$702.08
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $695.22 / $1,089.43	Professional		$507.87	$695.22	$1,089.43