Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.62 / $746.38 / $8,229.00	Facility		$581.62	$746.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.20 / $605.37 / $746.38	Professional		$539.20	$605.37	$746.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.26 / $550.46 / $818.79	Professional		$454.26	$550.46	$818.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $573.47 / $787.11 / $907.99	Facility		$573.47	$787.11	$907.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $618.44 / $787.11 / $1,124.44	Professional		$618.44	$787.11	$1,124.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.19 / $691.19 / $691.19	Facility		$691.19	$691.19	$691.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.20 / $721.90 / $1,116.91	Professional		$564.20	$721.90	$1,116.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $618.44	Professional		$32.34	$32.34	$618.44
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 $533.24 / $697.08 / $1,156.67	Professional		$533.24	$697.08	$1,156.67