Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.86 / $637.00 / $2,747.00	Facility		$398.86	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.07 / $467.96 / $550.46	Professional		$365.07	$467.96	$550.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.53 / $429.54 / $587.78	Professional		$344.53	$429.54	$587.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.91 / $622.83 / $718.49	Facility		$435.91	$622.83	$718.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.88 / $618.23 / $889.76	Professional		$444.88	$618.23	$889.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.59 / $551.66 / $551.66	Facility		$473.59	$551.66	$551.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $614.05 / $850.38	Professional		$425.01	$614.05	$850.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.34	Professional		$32.34	$32.34	$578.34
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 $411.39 / $550.41 / $852.43	Professional		$411.39	$550.41	$852.43