Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.92 / $773.03 / $2,747.00	Facility		$339.92	$773.03	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $773.03 / $1,139.03	Professional		$369.74	$773.03	$1,139.03
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 $308.39 / $742.23 / $1,162.18	Professional		$308.39	$742.23	$1,162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.16 / $432.63 / $510.54	Facility		$317.16	$432.63	$510.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.07 / $494.43 / $1,399.30	Professional		$302.07	$494.43	$1,399.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.60 / $568.60 / $568.60	Facility		$568.60	$568.60	$568.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.57 / $987.39 / $1,843.61	Professional		$364.57	$987.39	$1,843.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.81 / $1,426.61 / $1,749.83	Professional		$857.81	$1,426.61	$1,749.83