Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.20 / $843.66 / $2,747.00	Facility		$455.20	$843.66	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.20 / $531.17 / $843.66	Professional		$455.20	$531.17	$843.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.96 / $526.19 / $796.36	Professional		$434.96	$526.19	$796.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.01 / $707.84 / $816.54	Facility		$493.01	$707.84	$816.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $707.84 / $1,011.20	Professional		$494.22	$707.84	$1,011.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $623.07 / $830.74	Facility		$623.07	$623.07	$830.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.35 / $730.97 / $1,129.06	Professional		$530.35	$730.97	$1,129.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $657.28	Professional		$32.34	$32.34	$657.28
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.44 / $706.51 / $1,101.56	Professional		$480.44	$706.51	$1,101.56