Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.35 / $496.89 / $2,747.00	Facility		$271.35	$496.89	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $397.88 / $521.89	Professional		$271.35	$397.88	$521.89
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 $220.79 / $272.83 / $405.27	Professional		$220.79	$272.83	$405.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $424.30 / $489.46	Facility		$298.63	$424.30	$489.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.88 / $433.88 / $681.91	Professional		$333.88	$433.88	$681.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.82 / $557.65 / $557.65	Facility		$306.82	$557.65	$557.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $492.29 / $887.69	Professional		$308.39	$492.29	$887.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $587.24	Professional		$32.34	$32.34	$587.24
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.18 / $615.70 / $1,011.24	Professional		$414.18	$615.70	$1,011.24