Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.75 / $637.00 / $2,747.00	Facility		$450.75	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $527.23 / $620.44	Professional		$450.75	$527.23	$620.44
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 $408.48 / $492.67 / $699.30	Professional		$408.48	$492.67	$699.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.56 / $703.36 / $811.38	Facility		$491.56	$703.36	$811.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $491.10 / $703.36 / $1,004.80	Professional		$491.10	$703.36	$1,004.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $622.33 / $622.33	Facility		$560.46	$622.33	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $724.27 / $988.50	Professional		$512.04	$724.27	$988.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $653.12	Professional		$32.34	$32.34	$653.12
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 $463.12 / $638.99 / $962.86	Professional		$463.12	$638.99	$962.86