Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.61 / $693.04 / $8,229.00	Facility		$542.61	$693.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.98 / $563.05 / $693.04	Professional		$505.98	$563.05	$693.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.89 / $546.37 / $827.40	Professional		$450.89	$546.37	$827.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.74 / $733.96 / $846.68	Facility		$534.74	$733.96	$846.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.26 / $733.96 / $1,048.52	Professional		$524.26	$733.96	$1,048.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $642.88 / $642.88	Facility		$642.88	$642.88	$642.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $724.97 / $1,092.90	Professional		$541.35	$724.97	$1,092.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $576.69	Professional		$32.34	$32.34	$576.69
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.10 / $688.59 / $1,121.29	Professional		$499.10	$688.59	$1,121.29