Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.03 / $715.56 / $2,747.00	Facility		$448.03	$715.56	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.03 / $521.59 / $715.56	Professional		$448.03	$521.59	$715.56
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 $439.46 / $538.94 / $803.98	Professional		$439.46	$538.94	$803.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.11 / $702.52 / $810.41	Facility		$487.11	$702.52	$810.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.98 / $702.52 / $1,003.60	Professional		$551.98	$702.52	$1,003.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $704.60	Facility		$614.15	$614.15	$704.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.14 / $754.66 / $1,163.88	Professional		$552.14	$754.66	$1,163.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $652.34	Professional		$32.34	$32.34	$652.34
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 $492.07 / $696.70 / $1,096.17	Professional		$492.07	$696.70	$1,096.17