Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.08 / $637.00 / $2,747.00	Facility		$338.08	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.08 / $396.48 / $527.36	Professional		$338.08	$396.48	$527.36
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 $285.31 / $348.75 / $563.54	Professional		$285.31	$348.75	$563.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.55 / $529.20 / $610.47	Facility		$370.55	$529.20	$610.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $415.80 / $524.79 / $756.00	Professional		$415.80	$524.79	$756.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $519.28	Facility		$469.44	$469.44	$519.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.32 / $520.83 / $807.24	Professional		$380.32	$520.83	$807.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $491.40	Professional		$32.34	$32.34	$491.40
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 $334.63 / $480.61 / $756.19	Professional		$334.63	$480.61	$756.19