Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.95 / $654.90 / $2,747.00	Facility		$288.95	$654.90	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.05 / $430.23 / $658.45	Professional		$312.05	$430.23	$658.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $495.47 / $759.18	Professional		$388.30	$495.47	$759.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.74 / $443.32 / $511.40	Facility		$306.74	$443.32	$511.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $433.65 / $633.32	Professional		$316.66	$433.65	$633.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $644.87	Facility		$390.06	$390.06	$644.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.18 / $630.91 / $1,091.15	Professional		$360.18	$630.91	$1,091.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.66	Professional		$32.34	$32.34	$411.66
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $612.63 / $905.62	Professional		$345.25	$612.63	$905.62