Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $395.04 / $2,747.00	Facility		$302.62	$395.04	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $395.04 / $546.54	Professional		$302.62	$395.04	$546.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $390.15 / $565.50	Professional		$279.98	$390.15	$565.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.11 / $415.80 / $472.30	Facility		$344.11	$415.80	$472.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.77 / $473.15 / $759.06	Professional		$329.77	$473.15	$759.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.87 / $620.74 / $1,111.00	Facility		$298.87	$620.74	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.23 / $524.89 / $1,081.65	Professional		$354.23	$524.89	$1,081.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $563.95	Professional		$32.34	$32.34	$563.95
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.18 / $550.48 / $853.59	Professional		$443.18	$550.48	$853.59