Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.41 / $637.00 / $2,747.00	Facility		$478.41	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.91 / $559.47 / $657.20	Professional		$449.91	$559.47	$657.20
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 $419.09 / $519.01 / $750.70	Professional		$419.09	$519.01	$750.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $746.03 / $860.61	Facility		$520.91	$746.03	$860.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $746.03 / $1,065.76	Professional		$532.88	$746.03	$1,065.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.16 / $659.16 / $659.16	Facility		$602.16	$659.16	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.44 / $747.84 / $1,089.85	Professional		$543.44	$747.84	$1,089.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $692.74	Professional		$32.34	$32.34	$692.74
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,200.82 / $8,582.00	Facility		$739.00	$3,200.82	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.81 / $678.92 / $1,088.68	Professional		$495.81	$678.92	$1,088.68