Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.92 / $784.39 / $2,747.00	Facility		$368.92	$784.39	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $431.99 / $784.39	Professional		$368.92	$431.99	$784.39
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 $348.13 / $419.73 / $656.66	Professional		$348.13	$419.73	$656.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.99 / $576.59 / $665.13	Facility		$403.99	$576.59	$665.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.04 / $571.84 / $823.70	Professional		$453.04	$571.84	$823.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $772.37	Facility		$509.99	$509.99	$772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $603.57 / $914.23	Professional		$427.04	$603.57	$914.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $535.41	Professional		$32.34	$32.34	$535.41
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 $383.23 / $547.47 / $822.62	Professional		$383.23	$547.47	$822.62