Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $411.14 / $2,747.00	Facility		$291.06	$411.14	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.06 / $367.28 / $501.59	Professional		$291.06	$367.28	$501.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $350.45 / $487.08	Professional		$265.97	$350.45	$487.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.12 / $401.32 / $455.85	Facility		$332.12	$401.32	$455.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $465.47 / $809.52	Professional		$296.14	$465.47	$809.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $599.12 / $1,111.00	Facility		$320.02	$599.12	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $438.00 / $840.46	Professional		$325.18	$438.00	$840.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $526.19	Professional		$32.34	$32.34	$526.19
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $488.80 / $738.41	Professional		$392.08	$488.80	$738.41