Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.58 / $701.07 / $2,747.00	Facility		$442.58	$701.07	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.58 / $517.60 / $701.07	Professional		$442.58	$517.60	$701.07
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 $426.04 / $510.14 / $755.01	Professional		$426.04	$510.14	$755.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $481.05 / $689.71 / $795.63	Facility		$481.05	$689.71	$795.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $689.71 / $985.30	Professional		$541.91	$689.71	$985.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $608.20 / $690.32	Facility		$608.20	$608.20	$690.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.41 / $709.76 / $1,076.19	Professional		$504.41	$709.76	$1,076.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $640.45	Professional		$32.34	$32.34	$640.45
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 $465.78 / $632.09 / $988.20	Professional		$465.78	$632.09	$988.20