Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.63 / $637.00 / $2,747.00	Facility		$343.63	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $405.69 / $629.08	Professional		$343.63	$405.69	$629.08
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 $367.88 / $452.06 / $648.04	Professional		$367.88	$452.06	$648.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $535.99 / $618.29	Facility		$378.97	$535.99	$618.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.85 / $535.99 / $765.70	Professional		$382.85	$535.99	$765.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $619.45	Facility		$469.44	$469.44	$619.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.01 / $615.00 / $885.46	Professional		$463.01	$615.00	$885.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.71	Professional		$32.34	$32.34	$497.71
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.57 / $581.45 / $895.59	Professional		$429.57	$581.45	$895.59