Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.35 / $595.73 / $2,747.00	Facility		$270.35	$595.73	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $397.66 / $595.73	Professional		$291.52	$397.66	$595.73
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 $224.47 / $271.56 / $494.23	Professional		$224.47	$271.56	$494.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $422.74 / $487.67	Facility		$298.27	$422.74	$487.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.91 / $426.33 / $679.41	Professional		$330.91	$426.33	$679.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.53 / $555.61 / $555.61	Facility		$499.53	$555.61	$555.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $533.85 / $935.06	Professional		$368.32	$533.85	$935.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $566.98	Professional		$32.34	$32.34	$566.98
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 $422.99 / $583.08 / $926.18	Professional		$422.99	$583.08	$926.18