Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $690.43 / $2,747.00	Facility		$324.86	$690.43	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.19 / $376.37 / $690.43	Professional		$332.19	$376.37	$690.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $341.05 / $664.07	Professional		$279.94	$341.05	$664.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.93 / $505.85 / $583.53	Facility		$357.93	$505.85	$583.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $505.85 / $722.64	Professional		$353.19	$505.85	$722.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $443.04 / $606.42	Facility		$443.04	$443.04	$606.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.03 / $610.65 / $1,008.00	Professional		$389.03	$610.65	$1,008.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $469.72	Professional		$32.34	$32.34	$469.72
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $522.83 / $820.10	Professional		$383.93	$522.83	$820.10