Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.99 / $896.00 / $10,152.00	Facility		$549.99	$896.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $566.54 / $710.18	Professional		$481.25	$566.54	$710.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.30 / $548.08 / $784.82	Professional		$452.30	$548.08	$784.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.41 / $739.00 / $852.49	Facility		$538.41	$739.00	$852.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.98 / $739.00 / $1,055.72	Professional		$515.98	$739.00	$1,055.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $652.83 / $652.83	Facility		$652.83	$652.83	$652.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.75 / $699.19 / $1,045.43	Professional		$535.75	$699.19	$1,045.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $580.65	Professional		$32.34	$32.34	$580.65
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $685.62 / $1,114.77	Professional		$516.54	$685.62	$1,114.77