Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.39 / $662.73 / $2,747.00	Facility		$406.39	$662.73	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.39 / $474.92 / $662.73	Professional		$406.39	$474.92	$662.73
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 $373.13 / $460.22 / $695.82	Professional		$373.13	$460.22	$695.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $633.63 / $730.93	Facility		$442.24	$633.63	$730.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.41 / $633.63 / $905.18	Professional		$442.41	$633.63	$905.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $559.46 / $652.57	Facility		$559.46	$559.46	$652.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.52 / $652.22 / $1,003.79	Professional		$470.52	$652.22	$1,003.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $588.37	Professional		$32.34	$32.34	$588.37
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 $420.20 / $600.29 / $907.24	Professional		$420.20	$600.29	$907.24