Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.41 / $745.86 / $2,747.00	Facility		$549.41	$745.86	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.41 / $640.90 / $778.91	Professional		$549.41	$640.90	$778.91
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 $466.99 / $586.23 / $896.59	Professional		$466.99	$586.23	$896.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $596.04 / $855.76 / $987.18	Facility		$596.04	$855.76	$987.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.39 / $855.76 / $1,222.52	Professional		$672.39	$855.76	$1,222.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.44 / $753.64 / $753.64	Facility		$734.44	$753.64	$753.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $864.01 / $1,302.09	Professional		$624.52	$864.01	$1,302.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $794.64	Professional		$32.34	$32.34	$794.64
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 $563.46 / $753.54 / $1,225.59	Professional		$563.46	$753.54	$1,225.59