Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $612.00 / $2,747.00	Facility		$301.95	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $334.30 / $448.45	Professional		$285.41	$334.30	$448.45
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 $268.94 / $333.57 / $503.41	Professional		$268.94	$333.57	$503.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.27 / $468.64 / $540.61	Facility		$324.27	$468.64	$540.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $468.64 / $669.48	Professional		$368.21	$468.64	$669.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.60 / $410.60 / $441.58	Facility		$410.60	$410.60	$441.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.17 / $476.53 / $704.81	Professional		$342.17	$476.53	$704.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $435.16	Professional		$32.34	$32.34	$435.16
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,200.82	Facility		$391.00	$950.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $430.02 / $682.20	Professional		$315.04	$430.02	$682.20