Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.45 / $843.42 / $2,747.00	Facility		$587.45	$843.42	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.45 / $684.51 / $843.42	Professional		$587.45	$684.51	$843.42
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 $520.23 / $655.58 / $973.60	Professional		$520.23	$655.58	$973.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.01 / $912.31 / $1,052.41	Facility		$635.01	$912.31	$1,052.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.65 / $912.31 / $1,303.30	Professional		$651.65	$912.31	$1,303.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $830.49	Facility		$802.37	$802.37	$830.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.39 / $935.39 / $1,342.77	Professional		$665.39	$935.39	$1,342.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $847.15	Professional		$32.34	$32.34	$847.15
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 $607.20 / $845.15 / $1,313.71	Professional		$607.20	$845.15	$1,313.71