Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.69 / $856.22 / $3,740.00	Facility		$577.69	$856.22	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.69 / $673.26 / $856.22	Professional		$577.69	$673.26	$856.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.09 / $647.41 / $946.90	Professional		$519.09	$647.41	$946.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $899.81 / $1,037.99	Facility		$626.49	$899.81	$1,037.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.26 / $899.81 / $1,285.44	Professional		$628.26	$899.81	$1,285.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.24 / $792.33 / $792.33	Facility		$761.24	$792.33	$792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.05 / $918.64 / $1,411.16	Professional		$657.05	$918.64	$1,411.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $835.54	Professional		$32.34	$32.34	$835.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.25 / $844.25 / $1,287.68	Professional		$607.25	$844.25	$1,287.68