Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $860.00 / $8,229.00	Facility		$535.00	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.60 / $564.28 / $696.01	Professional		$500.60	$564.28	$696.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.23 / $483.78 / $731.96	Professional		$399.23	$483.78	$731.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.60 / $736.51 / $849.62	Facility		$536.60	$736.51	$849.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.69 / $736.51 / $1,052.16	Professional		$578.69	$736.51	$1,052.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Facility		$646.51	$646.51	$646.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.90 / $654.11 / $1,013.25	Professional		$526.90	$654.11	$1,013.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.69	Professional		$32.34	$32.34	$578.69
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.02 / $612.65 / $1,079.08	Professional		$500.02	$612.65	$1,079.08