Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.05 / $860.00 / $3,740.00	Facility		$456.05	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.50 / $529.88 / $598.32	Professional		$459.50	$529.88	$598.32
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 / $293.37	Professional		$175.27	$211.36	$293.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.70 / $717.55 / $852.09	Facility		$511.70	$717.55	$852.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.61 / $738.65 / $1,055.22	Professional		$527.61	$738.65	$1,055.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $739.46	Facility		$648.78	$648.78	$739.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $756.96 / $1,067.71	Professional		$523.79	$756.96	$1,067.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.26 / $283.04 / $400.89	Professional		$210.26	$283.04	$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 $280.87 / $423.98 / $550.94	Professional		$280.87	$423.98	$550.94