Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.93 / $860.00 / $3,740.00	Facility		$479.93	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.93 / $557.60 / $630.41	Professional		$479.93	$557.60	$630.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $211.36 / $293.51	Professional		$175.27	$211.36	$293.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.46 / $755.07 / $896.65	Facility		$538.46	$755.07	$896.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $777.28 / $1,110.40	Professional		$504.95	$777.28	$1,110.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $779.12	Facility		$683.24	$683.24	$779.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.84 / $796.57 / $1,123.47	Professional		$551.84	$796.57	$1,123.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $297.92 / $400.89	Professional		$221.31	$297.92	$400.89
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.47 / $423.98 / $575.17	Professional		$275.47	$423.98	$575.17