Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.06 / $637.00 / $2,747.00	Facility		$393.06	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.06 / $460.62 / $554.62	Professional		$393.06	$460.62	$554.62
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 $338.92 / $410.69 / $639.38	Professional		$338.92	$410.69	$639.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.60 / $612.79 / $706.90	Facility		$428.60	$612.79	$706.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.71 / $612.79 / $875.42	Professional		$437.71	$612.79	$875.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $546.12	Facility		$542.35	$542.35	$546.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.28 / $597.88 / $885.06	Professional		$447.28	$597.88	$885.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $569.02	Professional		$32.34	$32.34	$569.02
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 $400.67 / $587.78 / $872.65	Professional		$400.67	$587.78	$872.65