Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.17 / $793.12 / $6,613.38	Facility		$646.17	$793.12	$6,613.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $728.47 / $916.82	Professional		$609.29	$728.47	$916.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.81 / $570.52 / $893.23	Professional		$470.81	$570.52	$893.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $706.22 / $855.78 / $1,339.84	Professional	50	$706.22	$855.78	$1,339.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.70 / $822.42 / $939.90	Facility		$584.70	$822.42	$939.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.09 / $822.42 / $1,321.74	Professional		$674.09	$822.42	$1,321.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.05 / $1,080.89 / $1,117.44	Facility		$493.05	$1,080.89	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.57 / $804.99 / $3,027.78	Professional		$582.57	$804.99	$3,027.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $422.94	Professional		$32.34	$32.34	$422.94
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.02 / $792.53 / $1,240.96	Professional		$634.02	$792.53	$1,240.96